OrganizationActive
Golden Triangle Periodontal Center
NPI 1114055167 · Periodontics · Columbus, MS
Provider details
- NPI number
- 1114055167
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- John Starr, Periodontist(662) 329-2696
- License
- PER154-88 (MS)
Specialties & taxonomies
Dental Providers
Practice location
2900 Bluecutt Rd
Suite 3
Columbus, MS 39705-1470
Phone: (662) 329-2696
Approximate (ZIP-level) locationGet directions
Mailing address
2900 Bluecutt Rd
Columbus, MS 39705-1470
Registry dates
- Enumerated
- 2007-03-01
- 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.