Organization
PEDIATRIC DENTAL GROUP OF HATTIESBURG, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LINDSEY BELKNAP DMD (DENTIST)
(601) 450-6060
Entity
Organization
Contact information
Practice address
6643 US HIGHWAY 98, HATTIESBURG, MS 39402-8442
(601) 450-6060
(601) 450-6062
Mailing address
6643 US HIGHWAY 98, HATTIESBURG, MS 39402-8442
(601) 450-6060
(601) 450-6062
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3044-98
MS
1223P0221X
Pediatric Dentistry
3394-06
MS
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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