# DREW MIDDLETON, DMD

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

## Provider details

- **NPI number:** 1740435668
- **Authorized official:** DREW MIDDLETON DMD (PROVIDER)
- **Authorized official phone:** (601) 450-6060

## Contact information

- **Practice address:** 163 TURTLE CREEK DR, SUITE 80, HATTIESBURG, MS 39402-1284
- **Practice address phone:** (601) 450-6060
- **Mailing address:** 163 TURTLE CREEK DR, SUITE 80, HATTIESBURG, MS 39402-1284
- **Mailing address phone:** (601) 450-6060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 3044-98 | MS | Yes |

## Other

- **Enumeration date:** 11/19/2008
- **Last updated:** 11/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 06181398 | — | MS |