Pediatric Dental Group of Hattiesburg, Pllc
NPI #1013210624 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1013210624
- Entity Type
- Organization
- Organization Name
- Pediatric Dental Group of Hattiesburg, Pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Dec 21, 2010
- Last Updated
- Dec 21, 2010
Practice Location
- Address
- 6643 US HIGHWAY 98
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39402-8442
- Phone
- (601) 450-6060
Authorized Official
- Name
- CHARLES LINDSEY BELKNAP, DMD
- Title
- DENTIST
- Phone
- (601) 450-6060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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