Gulf Coast Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

GULF COAST PEDIATRIC DENTISTRY PLLC

Practice address

15236 Dedeaux Rd
Gulfport, MS 39503-3161

Phone

(228) 832-3111

Fax

(228) 832-3117

NPI assigned

Aug 10, 2011

Last updated

Aug 5, 2021By 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

Dr. Eric L. Hyde, DDSNPI 1609888197

Title

Owner

Phone

(228) 832-3111

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Eric L Hyde, DDS PLLC

  • Pediatric Dentistry
  • Gulfport, MS
  • NPI 1609888197
  NPD Authorized official
• Maegen Calhoun McCabe, DMD

  • Pediatric Dentistry
  • Gulfport, MS
  • NPI 1710327960
  NPD (past)

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1194004994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15236 DEDEAUX RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033161",
            "telephone_number": "228-832-3111",
            "fax_number": "228-832-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15236 DEDEAUX RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033161",
            "telephone_number": "228-832-3111",
            "fax_number": "228-832-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "HYDE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-832-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Mental Health Center
• Gulf Coast Mental Health Center
• Gulf Coast Neuropsychology, LLC
• Gulf Coast Neurospa LLC
• Gulf Coast Pediatric Care LLC
• Gulf Coast Periodontics & Implants LLC
• Gulf Coast Physical Therapy Centers PA
• Gulf Coast Plastic Surgery
• Gulf Coast Play Therapy Clinic, LLC
• Gulf Coast Psychotherapy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.