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THE PEDIATRIC DENTAL STUDIO, LLC
NPI 1699197574
Dentist - Pediatric Dentistry in Pearl, MS

Active since January 13, 2014
110 METROPLEX BLVD, PEARL, MS 39208(601) 941-6237 Get Directions Write a Review

NPPES record last updated: January 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Pediatric Dental Studio, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE PEDIATRIC DENTAL STUDIO, LLC (NPI 1699197574) is a healthcare organization registered as a pediatric dentistry in Pearl, Mississippi and active in the NPI registry since January 2014. The organization lists Jerrick W Rose, Owner, as its authorized official.

NPPES Registry Identity

NPI1699197574
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTHE PEDIATRIC DENTAL STUDIO, LLC
Location Address110 METROPLEX BLVDPearl, MS 39208-9210
Mailing Address603 Southern Oaks DrFlorence, MS 39073-9456
Phone(601) 941-6237
Organization SubpartNo
Authorized OfficialJerrick W RoseOwner · (601) 941-6237
Enumeration DateJanuary 13, 2014
✔ NPI 1699197574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MS · 3662-12
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X · License 3662-12 (MS)
110 METROPLEX BLVD, Pearl, MS 39208
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA JOHNSON CPHT
Pharmacy Technician
110 METROPLEX BLVD, SUITE H
PEARL, MS 39208
Rankin County (601) 664-1664
TARA PHARMACY SE LLC
Pharmacy (Long Term Care Pharmacy)
110 METROPLEX BLVD, SUITE H
PEARL, MS 39208
Rankin County (601) 664-1664

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Pediatric Dental Studio, LLC's NPI number?

The NPI number for The Pediatric Dental Studio, LLC is 1699197574. It was assigned to this organization in the NPPES registry on January 13, 2014.

Where is The Pediatric Dental Studio, LLC located?

The Pediatric Dental Studio, LLC is located at 110 Metroplex Blvd, Pearl, MS 39208. The listed phone number is (601) 941-6237.

What is The Pediatric Dental Studio, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does The Pediatric Dental Studio, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list The Pediatric Dental Studio, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Pediatric Dental Studio, LLC was last updated on January 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.