LAKELAND PERIODONTICS AND IMPLANTS NPI 1528790680

NPI Information

NPI: 1528790680
Provider Name: LAKELAND PERIODONTICS AND IMPLANTS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2550 FLOWOOD DR STE 401
FLOWOOD, MS
ZIP 39232
Phone: (601) 271-8710
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LAKELAND PERIODONTICS AND IMPLANTS is a dental clinic center in Flowood, MS. LAKELAND PERIODONTICS AND IMPLANTS NPI is 1528790680. The provider is registered as an organization entity type.

The provider's business location address is:

2550 FLOWOOD DR STE 401
FLOWOOD, MS
ZIP 39232-320
Phone: (601) 271-8710
Fax: (601) 271-6055

The provider's authorized official is Kelly Miller .
The authorized official title is Credentialing Specialist and has the following contact phone number (601) 271-8710.

The enumeration date for this NPI number is 6/28/2022 and was last updated on 6/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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