OrganizationActive
Lakeland Periodontics and Implants
NPI 1528790680 · Dental Clinic/Center · Flowood, MS
Provider details
- NPI number
- 1528790680
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Miller, Credentialing Specialist(601) 271-8710
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2550 Flowood Dr Ste 401
Flowood, MS 39232-9320
Phone: (601) 271-8710
Fax: (601) 271-6055
Approximate (ZIP-level) locationGet directions
Mailing address
2550 Flowood Dr Ste 401
Flowood, MS 39232-9320
Registry dates
- Enumerated
- 2022-06-28
- Last updated
- 2022-06-28
- Certified
- 2022-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.