RODERICK L. COLEMAN, D.M.D., PA
NPI 1962686394
Dentist - Pediatric Dentistry in Vicksburg, MS

Q: What is Roderick L. Coleman, D.M.D., PA's NPI number?

The NPI number for Roderick L. Coleman, D.M.D., PA is 1962686394. It was assigned to this organization in the NPPES registry on December 20, 2007.

Q: What is Roderick L. Coleman, D.M.D., PA's specialty?

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

Active since December 20, 2007

120 HOLT COLLIER DR, SUITE D, VICKSBURG, MS 39183(601) 619-4777(601) 619-4667 Get Directions Write a Review

NPPES record last updated: December 20, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Roderick L. Coleman, D.m.d., Pa NPPES

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

RODERICK L. COLEMAN, D.M.D., PA (NPI 1962686394) is a healthcare organization registered as a pediatric dentistry in Vicksburg, Mississippi and active in the NPI registry since December 2007. The organization lists Roderick L Coleman, Owner, as its authorized official.

NPPES Registry Identity

NPI1962686394

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameRODERICK L. COLEMAN, D.M.D., PA

Location Address120 HOLT COLLIER DR, SUITE DVicksburg, MS 39183-4408

Mailing Address120 Holt Collier Dr, Suite DVicksburg, MS 39183-4408 · (601) 619-4777 · Fax (601) 619-4667

Phone(601) 619-4777

Fax(601) 619-4667

Organization SubpartNo

Authorized OfficialRoderick L ColemanOwner · (601) 619-4777

Enumeration DateDecember 20, 2007

✔ NPI 1962686394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in MS · 315300

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.

120 HOLT COLLIER DR, Vicksburg, MS 39183

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Other Identifiers 1

Medicaid02988820MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

RODERICK L COLEMAN D.M.D.

Dentist (Pediatric Dentistry)

120 HOLT COLLIER DR, SUITE D
VICKSBURG, MS 39183

Warren County (601) 619-4777

SPECIAL BEGINNINGS FOR WOMEN

Obstetrics & Gynecology

120 HOLT COLLIER DR, SUITE B
VICKSBURG, MS 39183

Warren County (601) 638-1340

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 Roderick L. Coleman, D.M.D., PA's NPI number?

The NPI number for Roderick L. Coleman, D.M.D., PA is 1962686394. It was assigned to this organization in the NPPES registry on December 20, 2007.

Where is Roderick L. Coleman, D.M.D., PA located?

Roderick L. Coleman, D.M.D., PA is located at 120 Holt Collier Dr Suite D, Vicksburg, MS 39183. The listed phone number is (601) 619-4777.

What is Roderick L. Coleman, D.M.D., PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Roderick L. Coleman, D.M.D., PA was last updated on December 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.