Children'S Dental Clinic

LBN: Children'S Dental Clinic
Children'S Dental Clinic is an health care organization with primary practice located at 303 Hospital Dr , Cleveland MS 38732-2358. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Children'S Dental Clinic can be contacted via phone (662) 843-5011, or through Smith, Hugh C via phone (662) 843-5011.

Contact Information

Primary practice address
303 Hospital Dr Cleveland MS 38732-2358
Phone: (662) 843-5011
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Hugh C Doctor of Dental Surgery (DDS)
Phone: (662) 843-5011

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 169975 Mississippi

Profile Details

NPI number 1568755106
LBN Legal business name Children'S Dental Clinic
DBA Doing business as
Authorized official Smith, Hugh C Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2011
Last updated May 16th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568755106 NPPES
Mississippi MEDICAID 00064290

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