Roderick L. Coleman, D.m.d., PA
NPI #1962686394 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1962686394
- Entity Type
- Organization
- Organization Name
- Roderick L. Coleman, D.m.d., PA
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Dec 20, 2007
- Last Updated
- Dec 20, 2007
Practice Location
- Address
- 120 HOLT COLLIER DR
- Address 2
- SUITE D
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39183-4408
- Phone
- (601) 619-4777
Authorized Official
- Name
- DR. RODERICK L COLEMAN, D.M.D.
- Title
- OWNER
- Phone
- (601) 619-4777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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