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

Pediatric Dentistry, PA

Organization Pediatric Dentistry · NPI 1134414733

Pediatric Dentistry, PA is a Pediatric Dentistry in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2011.

Licensed in
MS
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5315 Highway 18 W
Jackson, MS 39209-9421
Phone: (601) 922-0066
Fax: (601) 922-0077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 1865-80 (MS)

Record details

NPI number1134414733
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official L Cope — Dentist · (601) 922-0066
NPI enumeratedJune 13, 2011
Last updated in NPPESJune 13, 2011
Mailing address5315 Highway 18 W, Jackson, MS 39209-9421

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