Organization Active NPI

Laurel Dental Properties

Doing business as Pediatric Dental Group of Laurel

  • Pediatric Dentistry
  • Laurel, MS
National Provider Identifier
1669837910
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
3044-98 Issued in MS
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 PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

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.

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

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.

Verify at the official NPI Registry.