# MIDDLETON & BELKNAP PEDIATRIC DENTISTRY PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Pediatric Dental Group of Hattiesburg
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316216716
- **Authorized official:** MS. TINA MYERS (OFFICE MANAGER)
- **Authorized official phone:** (601) 450-6060

## Contact information

- **Practice address:** 6643 U S HIGHWAY 98, HATTIESBURG, MS 39402-8442
- **Practice address phone:** (601) 450-6060
- **Practice address fax:** (601) 450-6062
- **Mailing address:** 6643 U S HIGHWAY 98, HATTIESBURG, MS 39402-8442
- **Mailing address phone:** (601) 450-6060
- **Mailing address fax:** (601) 450-6062

## Taxonomy

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

## Other

- **Enumeration date:** 12/14/2011
- **Last updated:** 01/24/2012