| Pine Belt Periodontics, Pllc | |
|
9 Medical Blvd Hattiesburg MS 39401-7231 | |
| (601) 264-2424 | |
| (601) 264-2410 |
| Full Name | Pine Belt Periodontics, Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 9 Medical Blvd, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Brian Alexander Pitfield (PERIODONTIST) |
| Authorized Official Contact | 6012642424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Belt Periodontics, Pllc 9 Medical Blvd Hattiesburg MS 39401-7231 Ph: (601) 264-2424 | Pine Belt Periodontics, Pllc 9 Medical Blvd Hattiesburg MS 39401-7231 Ph: (601) 264-2424 |
| NPI Number | 1275681967 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275681967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 2568-90 (Mississippi) | Primary |
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