Pediatric Dentistry of Gluckstadt
Organization Active NPI Dental Clinic/Center · Gluckstadt, MS
NPI 1821960683 · NPPES record last updated Sep 22, 2025
Key facts
- NPI
- 1821960683
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- PEDIATRIC DENTISTRY OF GLUCKSTADT
- Practice address
- 154 Calhoun Station Pkwy Ste F
Gluckstadt, MS 39110-5544 - Phone
- (769) 567-1807
- Fax
- (769) 567-1620
- NPI assigned
- Sep 22, 2025
- Organization subpart
- No
Authorized official
- Name
- Avani Khatri, DDS
- Title
- Owner
- Phone
- (769) 567-1807
Practitioners 1
-
Avani Hiralal Khatri, DDS
National Provider Directory
Locations
154 Calhoun Station Pkwy
Ste F
Gluckstadt, MS 39110
Phone (769) 567-1807
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
154 Calhoun Station Pkwy Ste F
Gluckstadt, MS 39110-5544
Mailing address
154 Calhoun Station Pkwy Ste F
Gluckstadt, MS 39110-5544
Phone (769) 567-1807
Other providers in Gluckstadt, MS
- Samuel Scott McCullough III
- Avery Nash
- Barbara Nelson
- Lynn Kim Nguyen
- Oluwadamilola Oni
- PSP Medical Clinic
- Quad Intermed Company LLC
- R3 Infusion and Wellness LLC
- R3 Wellness and Infusion, LLC
- Patrick Martin Ray
All providers in Gluckstadt, MS · Dental Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.