Roderick L. Coleman, D.m.d., Pa is a Pediatric Dental Clinic in Vicksburg, Mississippi. It is located at 120 Holt Collier Dr, Suite D, Vicksburg, MS and its contact number is 601-619-4777. The authorized person for Roderick L. Coleman, D.m.d., Pa is Dr. Roderick L Coleman
who is Owner of the clinic and their contact number is 601-619-4777. The primary license number for Roderick L. Coleman, D.m.d., Pa is 315300 (Pediatric Dentistry) in Mississippi. Roderick L. Coleman, D.m.d., Pa 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:
Roderick L. Coleman, D.m.d., Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Roderick L. Coleman, D.m.d., Pa
Specialization:
Pediatric Dentistry
Clinic Address:
120 Holt Collier Dr, Suite D, Vicksburg, Mississippi, 39183-4408
Phone:
601-619-4777
Fax:
601-619-4667
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. Roderick L Coleman
Position:
Owner
Contact Number:
601-619-4777
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 Roderick L. Coleman, D.m.d., Pa clinic are as mentioned below.
NPI Number:
1962686394
NPI Enumeration Date:
20 Dec, 2007
NPI Last Update On:
20 Dec, 2007
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Roderick L. Coleman, D.m.d., Pa are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
315300
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
02988820
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Roderick L. Coleman, D.m.d., Pa 120 Holt Collier Dr, Suite D Vicksburg, Mississippi
Zip:
39183-4408
Phone Number:
601-619-4777
Fax Number:
601-619-4667
Patients can reach Roderick L. Coleman, D.m.d., Pa at 120 Holt Collier Dr, Suite D, Vicksburg, Mississippi or can call to book an appointment on 601-619-4777. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.