Delta Pediatrics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DELTA PEDIATRICS

Practice address

306 Highland Blvd
Natchez, MS 39120-4611

Phone

(601) 442-9702

Fax

(601) 445-5341

NPI assigned

Jun 23, 2022

Organization subpart

No

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

Authorized official

Name

Andrea Bradford

Title

Office Manager

Phone

(601) 442-9702

Specialties & licenses 1

Addresses

Other names 1

• Delta Pediatrics Doing business as

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1972234516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 HIGHLAND BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204611",
            "telephone_number": "601-442-9702",
            "fax_number": "601-445-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 HIGHLAND BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204611",
            "telephone_number": "601-442-9702",
            "fax_number": "601-445-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-442-9702"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Elaine Davis, OTR/L
• Jamika Davis
• Renee' C. Davis, DPT
• Jessica Gibson Dean, LPC, NCC, BC-TMH
• Reggio Dean
• Stacy Wayne Dennis, PA-C
• Dick S. Whitaker, O.D.
• William Percy Dickey III, D.M.D.
• Divine Personal Care
• Dixon Consultants Inc

• Dental Clinic/Center in Natchez, MS
• Providers in Natchez, MS by specialty
• Dental Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.