PEDIATRIC DENTAL GROUP OF HATTIESBURG, PLLC (NPI# 1013210624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013210624 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTAL GROUP OF HATTIESBURG, PLLC |
| Practice Address |
6643 Us Highway 98 Hattiesburg MS 39402-8442 |
| Practice Telephone | 6014506060 |
| Practice Fax Number | 6014506062 |
| Mailing Telephone | 6014506060 |
| Mailing Fax Number | 6014506062 |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |
| Authorized Official Name | CHARLES LINDSEY BELKNAP (DENTIST) |
| Authorized Official Telephone | 6014506060 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3394-06 | MS | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3044-98 | MS | Dental Providers |
| Street Address |
6643 US HIGHWAY 98 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-8442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316216716 | Middleton & Belknap Pediatric Dentistry Pllc | Dentist | 6643 U S Highway 98, Hattiesburg, MS 39402-8442 | 2011-12-14 |
| 1740435668 | Drew Middleton, Dmd | Dentist | 163 Turtle Creek Dr, Suite 80, Hattiesburg, MS 39402-1284 | 2008-11-19 |
| 1922194224 | Andrew Scott Middleton | Dentist | 6643 Hwy. 98, Hattiesburg, MS 39402 | 2006-10-05 |
| 1992758650 | Robert Conner Bills | Dentist | 109 Millsaps Drive, Suite A, Hattiesburg, MS 39402-1587 | 2006-05-17 |
| 1750379731 | James Huel Harris | Dentist | 1014 S 28th Ave, Hattiesburg, MS 39402-2600 | 2005-10-12 |
| 1811421910 | Anthony Kyle Neely | Dentist | 6643 Hwy. 98, Hattiesburg, MS 39402-8442 | 2017-04-14 |
| 1689085474 | Jonathan Robert Nichols | Dentist | 6643 U S Highway 98, Hattiesburg, MS 39402-8442 | 2014-05-14 |
| 1285899229 | Charles Lindsey Belknap | Dentist | 6643 Hwy. 98, Hattiesburg, MS 39402 | 2008-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1669850004 | Jcc, LLC | Dentist | 1150 Monteith Avenue, Suite 102, Hernando, MS 38632 | 2015-05-18 |
| 1871971101 | Katherine Curtis Windham | Dentist | 300 Hospital Dr Ste 3, Columbus, MS 39705-1921 | 2015-05-06 |
| 1740673797 | Emilee Peeples Milling | Dentist | 1855 Crane Ridge Dr Ste 2, Jackson, MS 39216-4944 | 2015-03-16 |
| 1114359866 | Cmhp Enterprises | Dentist | 1420 Wooded Drive, Grenada, MS 38901 | 2013-08-05 |
| 1710327960 | Maegen Calhoun Mccabe | Dentist | 11280 E Taylor Rd, Suite B, Gulfport, MS 39503-4038 | 2013-07-02 |
| 1215280672 | Reggie H. Broom, D.m.d., P.a. | Dentist | 1635 E Pass Rd, Gulfport, MS 39507-3527 | 2012-10-23 |
| 1194004994 | Eric L. Hyde, Dds, Pllc | Dentist | 15236 Dedeaux Rd, Gulfport, MS 39503-3161 | 2011-08-10 |
| 1720213788 | Fesmire Dental Pllc | Dentist | 101 Avalon Ct, Suite C, Brandon, MS 39047-7641 | 2009-05-20 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on PEDIATRIC DENTAL GROUP OF HATTIESBURG, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.