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Delta Orthodontic Specialists, LLC — NPI 1649907387, Vicksburg, MS | NPI Central

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NPI 1649907387

OrganizationActive

Delta Orthodontic Specialists, LLC

NPI 1649907387 · Orthodontics and Dentofacial Orthopedics Dentistry · Vicksburg, MS

Provider details

NPI number: 1649907387
Entity type: Organization
Primary specialty: Orthodontics and Dentofacial Orthopedics DentistryDental Providers
Organization subpart: No
Authorized official: Elaine Gardner, Office Manager(601) 638-8230

Specialties & taxonomies

Orthodontics and Dentofacial Orthopedics DentistryPrimary1223X0400X
Dental Providers

Practice location

2356 Grove St

Vicksburg, MS 39183-2857

Phone: (601) 638-8230

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

2356 Grove St

Vicksburg, MS 39183-2857

Other names (DBA / former)

Doing business as: Delta Orthodontic Specialists, LLC

Registry dates

Enumerated: 2022-08-03
Last updated: 2022-08-03
Certified: 2022-08-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.