Drew Middleton, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3044-98 Issued in MS

Legal business name

DREW MIDDLETON, DMD

Practice address

163 Turtle Creek Dr
Suite 80
Hattiesburg, MS 39402-1284

Phone

(601) 450-6060

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

Drew Middleton, DMD

Title

Provider

Phone

(601) 450-6060

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Pediatric Dental Group of Hattiesburg, PLLC

  • Pediatric Dentistry
  • Hattiesburg, MS
  • NPI 1013210624
  NPD tax ID

Locations

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1740435668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 TURTLE CREEK DR",
            "address_2": "SUITE 80",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021284",
            "telephone_number": "601-450-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 TURTLE CREEK DR",
            "address_2": "SUITE 80",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021284",
            "telephone_number": "601-450-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW MIDDLETON, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "601-450-6060",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06181398",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Drambarean, M.D.
• Krystal Massey Draughn, LCSW
• Drayer Physical Therapy Institute LLC
• Drayer Physical Therapy Mississippi LLC
• Dream Hair Care
• Fred H. Drews, III
• Mary C Dryden, LPC, LMFT
• Stacy M Dubois
• Deborah Ducksworth-Williams
• Monet Kalisha Ducksworth, DMD

• 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 Nov 19, 2008; 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.