Leaf River Dental, PLLC
Leaf River Dental, PLLC is a Dental Clinic/Center in Petal, Mississippi. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1115 Evelyn Gandy PkwyPetal, MS 39465
Phone: (601) 271-8710
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1750906707 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lanthea Mangum — Coo · (601) 271-8710 |
| NPI enumerated | June 15, 2020 |
| Last updated in NPPES | June 15, 2020 |
| Certification date | June 15, 2020 |
| Mailing address | 4358 Lincoln Road Ext Ste 20, Hattiesburg, MS 39402-3275 |