Organization
GULF COAST PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC L. HYDE DDS (OWNER)
(228) 832-3111
Entity
Organization
Contact information
Practice address
15236 DEDEAUX RD, GULFPORT, MS 39503-3161
(228) 832-3111
(228) 832-3117
Mailing address
15236 DEDEAUX RD, GULFPORT, MS 39503-3161
(228) 832-3111
(228) 832-3117
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/10/2011
Last updated
08/05/2021
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