Meridian Pediatric Dental Group, Llc
Pediatric Dental Clinic
1922 23rd Ave, Meridian
Mississippi, 39301
601-482-8986 601-482-6100
Maps & DirectionsMeridian Pediatric Dental Group, Llc is a Pediatric Dental Clinic in Meridian, Mississippi. It is located at 1922 23rd Ave, Meridian, MS and its contact number is 601-482-8986. The authorized person for Meridian Pediatric Dental Group, Llc is Dr. Shelley Wilkerson Ellis
who is Pediatric Dentist of the clinic and their contact number is 601-482-8986. Other organizations associated with this clinic are Shelley W. Mcdonald, Dmd, Pa, Meridian Pediatric Dental Group, Llc,
Meridian Pediatric Dental Group, Llc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Meridian Pediatric Dental Group, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Meridian Pediatric Dental Group, Llc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 1922 23rd Ave, Meridian,
Mississippi, 39301 |
| Phone: | 601-482-8986 |
| Fax: | 601-482-6100 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Shelley Wilkerson Ellis |
| Position: | Pediatric Dentist |
| Contact Number: | 601-482-8986 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Meridian Pediatric Dental Group, Llc clinic are as mentioned below.
| NPI Number: | 1356606511 |
| NPI Enumeration Date: | 12 Jul, 2012 |
| NPI Last Update On: | 12 Jul, 2012 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Shelley W. Mcdonald, Dmd, Pa | Pediatric Dentistry | 1285395517 |
| Meridian Pediatric Dental Group, Llc | Pediatric Dentistry | 1356606511 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Meridian Pediatric Dental Group, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00060313 | Medicaid | Mississippi | |
| 01035561 | Other | Mississippi | Swe |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Meridian Pediatric Dental Group, Llc
1922 23rd Ave,
Meridian, Mississippi |
| Zip: | 39301 |
| Phone Number: | 601-482-8986 |
| Fax Number: | 601-482-6100 |
Patients can reach Meridian Pediatric Dental Group, Llc at
1922 23rd Ave, Meridian, Mississippi or can
call to book an appointment on 601-482-8986.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.