Pine Belt Periodontics, PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2568-90 Issued in MS

Legal business name

PINE BELT PERIODONTICS, PLLC

Practice address

9 Medical Blvd
Hattiesburg, MS 39401-7231

Phone

(601) 264-2424

Fax

(601) 264-2410

NPI assigned

Jan 8, 2007

Last updated

Aug 22, 2020By 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. Brian Alexander Pitfield, D.D.S., M.S.NPI 1780979005

Title

Periodontist

Phone

(601) 264-2424

Specialties & licenses 1

Addresses

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.

• Brian Alexander Pitfield, D.D.S., M.S.

  • Periodontics
  • Hattiesburg, MS
  • NPI 1780979005
  NPD (past) Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275681967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEDICAL BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017231",
            "telephone_number": "601-264-2424",
            "fax_number": "601-264-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEDICAL BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017231",
            "telephone_number": "601-264-2424",
            "fax_number": "601-264-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE BELT PERIODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PITFIELD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "601-264-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MS",
            "license": "2568-90",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Lee Pierce, LAT, ATC
• Clarissa Pilgram
• Matthew Pilo, DPT
• Pine Belt Anesthesia, LLC
• Pine Belt Chiropractic Inc
• Pine Belt Sleep PLLC
• Pine Belt Therapy Services, LLC
• Pine Belt Voice and Swallowing
• Pine View Area, LLC (Pilgrim's Rest Hospice)
• Robert F Pinson, CRNA

• Periodontics in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Periodontics in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.