OrganizationActive
Leaf River Dental, PLLC
NPI 1750906707 · Dental Clinic/Center · Petal, MS
Leaf River Dental, PLLC is a Dental Clinic/Center organization in Petal, MS (NPI 1750906707).
Provider details
- NPI number
- 1750906707
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lanthea Mangum, Coo(601) 271-8710
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1115 Evelyn Gandy Parkway
Petal, MS 39465
Phone: (601) 271-8710
Street-level locationGet directions
Mailing address
4358 Lincoln Road Ext Ste 20
Hattiesburg, MS 39402-3275
Registry dates
- Enumerated
- 2020-06-15
- Last updated
- 2020-06-15
- Certified
- 2020-06-15
Frequently asked questions
- What is Leaf River Dental, PLLC's NPI number?
- Leaf River Dental, PLLC's National Provider Identifier (NPI) is 1750906707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Leaf River Dental, PLLC?
- Leaf River Dental, PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Leaf River Dental, PLLC located?
- Leaf River Dental, PLLC's practice location on file with NPPES is 1115 Evelyn Gandy Parkway, Petal, MS 39465.
- What is Leaf River Dental, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Leaf River Dental, PLLC is (601) 271-8710.
- Who is the authorized official for Leaf River Dental, PLLC?
- The authorized official listed on Leaf River Dental, PLLC's NPPES record is Lanthea Mangum, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Leaf River Dental, PLLC's NPI active?
- Yes — Leaf River Dental, PLLC's NPI (1750906707) is active in the NPPES registry as of the last update on 2020-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.