# PETAL DENTAL PROPERTIES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PETAL DENTAL PROPERTIES
- **Other names:** Pediatric Dental Group of Petal
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487578597
- **Legal business name:** PETAL DENTAL PROPERTIES
- **Authorized official:** TINA MYERS (PRACTICE MANAGER)
- **Authorized official phone:** (601) 450-6060

## Contact information

- **Practice address:** 34 BEECH LANE, PETAL, MS 39465
- **Practice address phone:** (601) 336-0336
- **Mailing address:** 6643 U S HIGHWAY 98, HATTIESBURG, MS 39402-8442
- **Mailing address phone:** (604) 336-0336
- **Mailing address fax:** (601) 336-0633

## Taxonomy

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

## Other

- **Enumeration date:** 08/10/2026
- **Last updated:** 08/10/2026