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
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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