OrganizationActive
Leaf River Dental, PLLC
NPI 1750906707 · Dental Clinic/Center · Petal, MS
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
Practice location
1115 Evelyn Gandy Parkway
Petal, MS 39465
Phone: (601) 271-8710
Approximate (ZIP-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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.