NPI 1134414733

Pediatric Dentistry, P.A.

Organisation Pediatric Dentistry Jackson, MS

Practice location

Address: 5315 Highway 18 W, Jackson, MS 39209-9421
Phone: (601) 922-0066
Fax: (601) 922-0077

Authorised official

Name: L Lee Cope
Title: Dentist
Phone: (601) 922-0066

Registered specialties

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 1865-80 (MS)

Other Dentist providers in Mississippi →

Registry record

NPI: 1134414733
Entity type: Organization
NPI issued: 13 Jun 2011
Record last updated: 13 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.