Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pediatric Dental Group of Hattiesburg, PLLC

Organization Pediatric Dentistry · NPI 1013210624

Pediatric Dental Group of Hattiesburg, PLLC provides Pediatric Dentistry in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.

Licensed in
MS
In the registry since
2010
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6643 US Highway 98
Hattiesburg, MS 39402-8442 Not confirmed with CMS for 15 years — call before visiting
Phone: (601) 450-6060
Fax: (601) 450-6062
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 3044-98 (MS)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 3394-06 (MS)

Record details

NPI number1013210624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Belknap — Dentist · (601) 450-6060
NPI enumeratedDecember 21, 2010
Last updated in NPPESDecember 21, 2010
Mailing address6643 Us Highway 98, Hattiesburg, MS 39402-8442

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