Children'S Dental Group Pllc

LBN: Children'S Dental Group Pllc
Children'S Dental Group Pllc is an health care organization with primary practice located at 539A Highway 80 W , Clinton MS 39056-4193. 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 Group Pllc can be contacted via phone (601) 924-4900, or through Gatewood, Joseph Chet via phone (601) 924-4900.

Contact Information

Primary practice address
539A Highway 80 W Clinton MS 39056-4193
Phone: (601) 924-4900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gatewood, Joseph Chet Doctor of Dental Medicine (DMD)
Phone: (601) 924-4900

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2696 Mississippi

Profile Details

NPI number 1477725851
LBN Legal business name Children'S Dental Group Pllc
DBA Doing business as
Authorized official Gatewood, Joseph Chet Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2008
Last updated Jun 24th, 2008 - about 17 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 1477725851 NPPES
Mississippi MEDICAID 00660116

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