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Organization
PETAL DENTAL PROPERTIES
Active
Organization
PETAL DENTAL PROPERTIES
Active
Parent organization
PETAL DENTAL PROPERTIES
Other names
Pediatric Dental Group of Petal
Organization subpart
Yes
Provider details
NPI number
Legal business name
PETAL DENTAL PROPERTIES
Authorized official
TINA MYERS (PRACTICE MANAGER)
(601) 450-6060
Entity
Organization
Contact information
Practice address
34 BEECH LANE, PETAL, MS 39465
(601) 336-0336
Mailing address
6643 U S HIGHWAY 98, HATTIESBURG, MS 39402-8442
(604) 336-0336
(601) 336-0633
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/10/2026
Last updated
08/10/2026
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