Organization
HATTIESBURG COMMUNITY DENTAL CENTER
Active
Parent organization
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC
Other names
Hattiesburg Community Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC
Authorized official
JANICE ROBINSON (CEO)
(601) 545-8700
Entity
Organization
Contact information
Practice address
68 OLD AIRPORT RD, HATTIESBURG, MS 39401-8382
(601) 583-4800
(601) 584-7769
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 450-2493
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009015171
—
MS
05
—
09015171
—
MS
01
—
2704503
MS UNITED HEALTH CARE
MS
Enumeration date
07/14/2006
Last updated
02/06/2026
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