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Meridian Pediatric Dental Group, LLC

Pediatric Dentistry in Meridian, MS · enumerated 2012 · authorized official Shelley Ellis, Pediatric Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356606511

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Registry record

Entity type Organization (Type 2)
Legal business name Meridian Pediatric Dental Group, LLC
Practice address 1922 23rd Ave, Meridian, MS, 39301
Fax (601) 482-6100
Enumeration date Jul 12, 2012
Last updated in NPPES Jul 12, 2012

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers Primary

Authorized official

Name Shelley Ellis
Title Pediatric Dentist

Other identifiers

Identifier Type State Issuer
00060313 Medicaid MS -
01035561 Other MS SWE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Meridian Pediatric Dental Group, LLC?
Meridian Pediatric Dental Group, LLC is registered in NPPES as a Pediatric Dentistry (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-07-12.