# NORTHEAST MISSISSIPPI PEDIATRIC DENTAL ASSOCIATES, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215804588
- **Authorized official:** DR. C.HAYDEN PERKINS (DENTIST/OWNER)
- **Authorized official phone:** (662) 513-4188

## Contact information

- **Practice address:** 1500 N HARPER RD STE 5, CORINTH, MS 38834-3700
- **Practice address phone:** (662) 513-4188
- **Mailing address:** 1500 N HARPER RD STE 5, CORINTH, MS 38834-3700
- **Mailing address phone:** (662) 513-4188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/21/2025
- **Last updated:** 10/21/2025