Hyde, Eric L
Hyde, Eric L is an sole proprietor health care provider with primary practice located at 15236 Dedeaux Rd , Gulfport MS 39503-3161. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Hyde, Eric L can be contacted via phone (228) 832-3111.Contact Information
Primary practice address
15236 Dedeaux Rd
Gulfport MS 39503-3161
Phone: (228) 832-3111
Fax: (228) 832-3117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 3330-05 | Mississippi |
Profile Details
| NPI number | 1609888197 |
|---|---|
| LBN Legal business name | Hyde, Eric L |
| Credentials | DDS PLLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Jun 24th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609888197 | NPPES |
| Mississippi | MEDICAID | 03781882 | |
| Mississippi | Other | 04472876 | |
| Mississippi | Other | 510579833 |
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