Organization
MILLING PEDIATRIC DENTISTRY PLLC
Active
Other names
Milling Pediatric Dentistry PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BELL (OM)
(601) 982-8585
Entity
Organization
Contact information
Practice address
1855 CRANE RIDGE DR STE B, JACKSON, MS 39216-4944
(601) 982-8585
Mailing address
1855 CRANE RIDGE DR STE B, JACKSON, MS 39216-4944
(601) 982-8585
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04122042
—
MS
Enumeration date
01/25/2022
Last updated
11/29/2022
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