Roderick 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.