OrganizationActive
Hattiesburg Orthodontics PLLC
NPI 1083832422 · Orthodontics and Dentofacial Orthopedics Dentistry · Hattiesburg, MS
Provider details
- NPI number
- 1083832422
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tracy Stanley, Owner(601) 450-2141
- License
- 3110-99 (MS)
Specialties & taxonomies
Dental Providers
Practice location
704 S 28th Ave
Suite 20
Hattiesburg, MS 39402-2524
Phone: (601) 450-2141
Approximate (ZIP-level) locationGet directions
Mailing address
704 S 28th Ave
Hattiesburg, MS 39402-2524
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.