Active NPI
Laurel Dental Properties
Doing business as Pediatric Dental Group of Laurel
- Pediatric Dentistry
- Laurel, MS
National Provider Identifier
1669837910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 3044-98
- Legal business name
- LAUREL DENTAL PROPERTIES
- Doing business as
- Pediatric Dental Group of Laurel
- Practice address
- 1925 Pine Belt Drive
Laurel, MS 39440 - Phone
- (601) 450-6060
- NPI assigned
- Dec 30, 2015
- Organization subpart
- Yes
- Parent organization
- MIDDLETON & BELKNAP PEDIATRIC DENTISTRY PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Scott Middleton, DMD
- Title
- Partner
- Phone
- (601) 450-6060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 3044-98 | MS | Primary |
Addresses
Primary practice location
1925 Pine Belt Drive
Laurel, MS 39440
Mailing address
1925 Pine Belt Drive
Laurel, MS 39440
Phone (601) 450-6060
Other names 1
- Pediatric Dental Group of Laurel
National Provider Directory
National Provider Directory- Part of
- Middleton Belknap Pediatric Dentistry PLLC
Locations
1925 Pine Belt Dr
Laurel, MS 39440
Phone (601) 283-4800
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Pediatric Dental Group of Hattiesburg
- Pediatric Dentistry
- Hattiesburg, MS
- NPI 1316216716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451433600000",
"number": "1669837910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 PINE BELT DRIVE",
"city": "LAUREL",
"state": "MS",
"postal_code": "39440",
"telephone_number": "601-450-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 PINE BELT DRIVE",
"city": "LAUREL",
"state": "MS",
"postal_code": "39440",
"telephone_number": "601-450-6060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUREL DENTAL PROPERTIES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIDDLETON & BELKNAP PEDIATRIC DENTISTRY PLLC",
"enumeration_date": "2015-12-30",
"last_updated": "2015-12-30",
"status": "A",
"authorized_official_last_name": "MIDDLETON",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "601-450-6060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "MS",
"license": "3044-98",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pediatric Dental Group of Laurel",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laurel, MS
- Michael D Larochelle, DO
- Laurel Advanced Medical Equipment LLC
- Laurel Bone and Joint Clinic, PA
- Laurel Cancer Care, LLC
- Laurel Clinic for Women
- Laurel Ear, Nose, and Throat Surgical Clinic
- Laurel Eye Clinic, PC
- Laurel Oaks Dental Care
- Laurel Obstetrics and Gynecology PA
- Laurel Orthodontic Associates LLC (Smile Country Orthodontics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.