Roderick L Coleman
D.M.D. | Pediatric Dentist
120 Holt Collier Dr, Suite D, Vicksburg
Mississippi, 39183-4408
601-619-4777 601-619-4667
Maps & DirectionsRoderick L Coleman is a Vicksburg, Mississippi based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Roderick L Coleman is
3153-00 for Pediatric Dentistry in Mississippi. His current practice location is
120 Holt Collier Dr, Suite D, Vicksburg. Patients can reach him at
601-619-4777.
Roderick L Coleman 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 Profile:
Roderick L Coleman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Roderick L Coleman |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | D.M.D. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 120 Holt Collier Dr, Suite D, Vicksburg,
Mississippi, 39183-4408 |
| Phone: | 601-619-4777 |
| Fax: | 601-619-4667 |
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 are as mentioned below.
| NPI Number: | 1033249867 |
| NPI Enumeration Date: | 07 Mar, 2007 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Roderick L Coleman are as mentioned below.
| License Number | Specialization | State | Status | |
| 3153-00 | Pediatric Dentistry | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Roderick L Coleman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00660349 | Medicaid | Mississippi | |
| 02988820 | Medicaid | Mississippi | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 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 at
120 Holt Collier Dr, Suite D, Vicksburg, Mississippi or can
call to book an appointment on 601-619-4777.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.