MS Periodontic Specialists Group, PLLC
MS Periodontic Specialists Group, PLLC is a Periodontics in Flowood, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.
- Licensed in
- MS
- In the registry since
- 2012
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
209 Woodline DrFlowood, MS 39232
Phone: (601) 664-2600
Fax: (601) 664-2650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 45012 (MS) |
|---|
Record details
| NPI number | 1851640437 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Samuel Lester — Owner · (601) 664-2600 |
| NPI enumerated | August 29, 2012 |
| Last updated in NPPES | August 12, 2014 |
| Mailing address | 209 Woodline Dr., Flowood, MS 39232 |