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Organization
PEDIATRIC DENTAL GROUP OF HATTIESBURG, PLLC
Active
Organization
PEDIATRIC DENTAL GROUP OF HATTIESBURG, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LINDSEY BELKNAP DMD (DENTIST)
(601) 450-6060
Entity
Organization
Contact information
Practice address
6643 US HIGHWAY 98, HATTIESBURG, MS 39402-8442
(601) 450-6060
(601) 450-6062
Mailing address
6643 US HIGHWAY 98, HATTIESBURG, MS 39402-8442
(601) 450-6060
(601) 450-6062
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3044-98
MS
1223P0221X
Pediatric Dentistry
3394-06
MS
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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