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Organization
PEDIATRIC DENTISTRY OF RIDGELAND, PLLC
Active
Organization
PEDIATRIC DENTISTRY OF RIDGELAND, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY PRISCILLA GREEN DMD (PEDIATRIC DENTIST)
(601) 497-2550
Entity
Organization
Contact information
Practice address
297 HIGHWAY 51 STE D, RIDGELAND, MS 39157-3423
(601) 856-4428
(601) 856-3310
Mailing address
297 HIGHWAY 51 STE D, RIDGELAND, MS 39157-3423
(601) 856-4428
(601) 856-3310
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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