Roderick L Coleman, DMD - Dentist in Vicksburg, MS

Roderick L Coleman, DMD is a Dentist - Pediatric Dentistry based in Vicksburg, Mississippi. Roderick L Coleman is licensed to practice in Mississippi (license number 3153-00) and his current practice location is 120 Holt Collier Dr, Suite D, Vicksburg, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 619-4777.

NPI number for Roderick L Coleman is 1033249867 and his current mailing address is 120 Holt Collier Dr, Suite D, Vicksburg, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033249867.

Contact Information

Roderick L Coleman, DMD
120 Holt Collier Dr, Suite D,
Vicksburg, MS 39183-4408
(601) 619-4777
(601) 619-4667

Map and Direction




Healthcare Provider's Profile

Full NameRoderick L Coleman
GenderMale
SpecialityDentist - Pediatric Dentistry
Location120 Holt Collier Dr, Vicksburg, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033249867
  • Provider Enumeration Date: 03/07/2007
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Roderick L Coleman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033249867NPI-NPPES
00660349MedicaidMS
02988820MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 3153-00 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roderick L Coleman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Roderick L Coleman, DMD
120 Holt Collier Dr, Suite D,
Vicksburg, MS 39183-4408

Ph: (601) 619-4777
Roderick L Coleman, DMD
120 Holt Collier Dr, Suite D,
Vicksburg, MS 39183-4408

Ph: (601) 619-4777

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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