Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Meridian Pediatric Dental Group, LLC

Organization Pediatric Dentistry · NPI 1356606511

Meridian Pediatric Dental Group, LLC provides Pediatric Dentistry in Meridian, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.

Licensed in
MS
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1922 23rd Ave
Meridian, MS 39301 Not confirmed with CMS for 14 years — call before visiting
Phone: (601) 482-8986
Fax: (601) 482-6100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X (MS)

Record details

NPI number1356606511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelley Ellis — Pediatric Dentist · (601) 482-8986
NPI enumeratedJuly 12, 2012
Last updated in NPPESJuly 12, 2012
Mailing address1922 23rd Ave, Meridian, MS 39301

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