| Pediatric Dental Group Of Laurel | |
|
1925 Pine Belt Drive Laurel MS 39440 | |
| (601) 450-6060 | |
| Not Available |
| Full Name | Pediatric Dental Group Of Laurel |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1925 Pine Belt Drive, Laurel, Mississippi |
| Authorized Official Name and Position | Andrew Scott Middleton (PARTNER) |
| Authorized Official Contact | 6014506060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Group Of Laurel 1925 Pine Belt Drive Laurel MS 39440 Ph: (601) 450-6060 | Pediatric Dental Group Of Laurel 1925 Pine Belt Drive Laurel MS 39440 Ph: (601) 450-6060 |
| NPI Number | 1669837910 |
|---|---|
| Provider Enumeration Date | 12/30/2015 |
| Last Update Date | 12/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669837910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3044-98 (Mississippi) | Primary |
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