| Pediatric Dentistry Of Ridgeland, Pllc | |
|
297 Highway 51 Ste D Ridgeland MS 39157-3423 | |
| (601) 856-4428 | |
| (601) 856-3310 |
| Full Name | Pediatric Dentistry Of Ridgeland, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 297 Highway 51 Ste D, Ridgeland, Mississippi |
| Authorized Official Name and Position | Tiffany Priscilla Green (PEDIATRIC DENTIST) |
| Authorized Official Contact | 6014972550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Ridgeland, Pllc 297 Highway 51 Ste D Ridgeland MS 39157-3423 Ph: (601) 856-4428 | Pediatric Dentistry Of Ridgeland, Pllc 297 Highway 51 Ste D Ridgeland MS 39157-3423 Ph: (601) 856-4428 |
| NPI Number | 1902456247 |
|---|---|
| Provider Enumeration Date | 09/18/2019 |
| Last Update Date | 09/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902456247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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