| Gulf Coast Pediatric Dentistry Pllc | |
|
15236 Dedeaux Rd Gulfport MS 39503-3161 | |
| (228) 832-3111 | |
| (228) 832-3117 |
| Full Name | Gulf Coast Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 15236 Dedeaux Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Eric L. Hyde (OWNER) |
| Authorized Official Contact | 2288323111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Pediatric Dentistry Pllc 15236 Dedeaux Rd Gulfport MS 39503-3161 Ph: (228) 832-3111 | Gulf Coast Pediatric Dentistry Pllc 15236 Dedeaux Rd Gulfport MS 39503-3161 Ph: (228) 832-3111 |
| NPI Number | 1194004994 |
|---|---|
| Provider Enumeration Date | 08/10/2011 |
| Last Update Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194004994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Gulfcoast Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3118 15th Street, Gulfport, MS 39501 Phone: 228-863-6413 | |
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Charles G. Wood D.m.d.p.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1213 Broad Ave # Std-1, Gulfport, MS 39501 Phone: 228-863-5171 Fax: 228-863-5233 | |
Harborview Oral And Facial Surgery Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 25th Avenue, Suite 3, Gulfport, MS 39501 Phone: 228-867-0121 Fax: 228-867-0252 | |
Coastkids Pediatric Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1635 E Pass Rd, Gulfport, MS 39507 Phone: 228-896-5197 | |
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