Roderick L Coleman
Pediatric Dentist
120 Holt Collier Dr Suite D
Vicksburg
, Mississippi 39183-4408
Roderick L Coleman
Pediatric Dentist
120 Holt Collier Dr Suite D
Vicksburg
, Mississippi 39183-4408
(601) 619-4667
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Roderick L Coleman
- 120 Holt Collier Dr Suite D
- Vicksburg, MS
- Zip : 39183-4408
- Fax : (601) 619-4667
- Phone : (601) 619-4777
Second Address
- Roderick L Coleman
- 120 Holt Collier Dr Suite D
- Vicksburg, MS
- Zip : 39183-4408
- Fax : (601) 619-4667
- Phone : (601) 619-4777
Reviews
FAQs
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What type of doctor is Roderick L Coleman
In what state does Roderick L Coleman practice in?
Where is Roderick L Coleman ’s practice located?
What is Roderick L Coleman ’s gender?
Is Roderick L Coleman a sole practitioner?
Is Roderick L Coleman accepting new patients?
What languages does Roderick L Coleman speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 3153-00 | MS |
National Provider Identifier
| NPI | 1033249867 |
|---|---|
| Provider Name | Roderick L Coleman |
| First Address | Vicksburg, MS 39183-4408 |
| Second Address | Vicksburg, MS 39183-4408 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/03/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00660349 | (05) | MS |
| 02988820 | (05) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.