Pediatric Dental Group of Hattiesburg, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3044-98 Issued in MS

Legal business name

PEDIATRIC DENTAL GROUP OF HATTIESBURG, PLLC

Practice address

6643 US Highway 98
Hattiesburg, MS 39402-8442

Phone

(601) 450-6060

Fax

(601) 450-6062

NPI assigned

Dec 21, 2010

Last updated

Dec 21, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Lindsey Belknap, DMDNPI 1285899229

Title

Dentist

Phone

(601) 450-6060

Specialties & licenses 2

Addresses

Tax ID family

Drew Middleton DMD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Drew Middleton, DMD

  • Pediatric Dentistry
  • Hattiesburg, MS
  • NPI 1740435668
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Lindsey Belknap, DMD

  • Pediatric Dentistry
  • Hattiesburg, MS
  • NPI 1285899229
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1013210624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6643 US HIGHWAY 98",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028442",
            "telephone_number": "601-450-6060",
            "fax_number": "601-450-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6643 US HIGHWAY 98",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028442",
            "telephone_number": "601-450-6060",
            "fax_number": "601-450-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL GROUP OF HATTIESBURG, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "BELKNAP",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LINDSEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "601-450-6060",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MS",
            "license": "3394-06",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MS",
            "license": "3044-98",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Darnell Pearson, B.A.
• Sven Pearson, MS, ATC, LAT, CAMCP
• Peavy Chiropractic Clinic PA
• David L. Peavy, D.C.
• Richard A Pecunia, MD
• Claire Peeck, LPC
• Catherine Marie Pena-Bonilla, PHARMD
• Lynn Pendleton, LMSW
• Christopher Alan Penton, M.D.
• Jennifer Dyanne Peoples, FNP-C

• Pediatric Dentistry in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Pediatric Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.