OrganizationActive
Roderick L. Coleman, D.M.D., PA
NPI 1962686394 · Pediatric Dentistry · Vicksburg, MS
Roderick L. Coleman, D.M.D., PA is a Pediatric Dentistry organization in Vicksburg, MS (NPI 1962686394).
Provider details
- NPI number
- 1962686394
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Roderick Coleman, Owner(601) 619-4777
- License
- 315300 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
120 Holt Collier Dr
Suite D
Vicksburg, MS 39183-4408
Phone: (601) 619-4777
Fax: (601) 619-4667
Street-level locationGet directions
Mailing address
120 Holt Collier Dr
Vicksburg, MS 39183-4408
Registry dates
- Enumerated
- 2007-12-20
- Last updated
- 2007-12-20
Frequently asked questions
- What is Roderick L. Coleman, D.M.D., PA's NPI number?
- Roderick L. Coleman, D.M.D., PA's National Provider Identifier (NPI) is 1962686394, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roderick L. Coleman, D.M.D., PA?
- Roderick L. Coleman, D.M.D., PA is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Roderick L. Coleman, D.M.D., PA located?
- Roderick L. Coleman, D.M.D., PA's practice location on file with NPPES is 120 Holt Collier Dr, Vicksburg, MS 39183-4408.
- What is Roderick L. Coleman, D.M.D., PA's phone number?
- The practice phone number listed in the NPPES registry for Roderick L. Coleman, D.M.D., PA is (601) 619-4777.
- Who is the authorized official for Roderick L. Coleman, D.M.D., PA?
- The authorized official listed on Roderick L. Coleman, D.M.D., PA's NPPES record is Roderick Coleman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roderick L. Coleman, D.M.D., PA's NPI active?
- Yes — Roderick L. Coleman, D.M.D., PA's NPI (1962686394) is active in the NPPES registry as of the last update on 2007-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.