Sparkling Smiles Pediatric Dentistry, Pllc

LBN: Sparkling Smiles Pediatric Dentistry, Pllc
Sparkling Smiles Pediatric Dentistry, Pllc is an health care organization with primary practice located at 949 Broadway Dr , Hattiesburg MS 39401-7534. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Sparkling Smiles Pediatric Dentistry, Pllc can be contacted via phone (601) 620-0075, or through Burgess, Myeasha via phone (443) 413-2935.

Contact Information

Primary practice address
949 Broadway Dr Hattiesburg MS 39401-7534
Phone: (601) 620-0075
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burgess, Myeasha Doctor of Dental Surgery (DDS)
Phone: (443) 413-2935

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1881279016
LBN Legal business name Sparkling Smiles Pediatric Dentistry, Pllc
DBA Doing business as
Authorized official Burgess, Myeasha Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2021
Last updated Mar 9th, 2021 - about 3 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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