Leaf River Dental, Pllc
Leaf River Dental, Pllc is a healthcare organization registered as Dental Clinic/Center in Petal, MS, holding Type 2 (organization) NPI 1750906707 since 2020. The authorized official on file is Lanthea Mangum, Coo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1750906707 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Leaf River Dental, Pllc |
| Practice address | 1115 EVELYN GANDY PARKWAY, Petal, MS, 39465 |
| Phone | 6012718710 |
| Enumeration date | 2020-06-15 |
| Last updated in NPPES | 2020-06-15 |
Authorized official
| Name | Lanthea Mangum |
|---|---|
| Title | Coo |
| Phone | 6012718710 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Leaf River Dental, Pllc NPI: 1750906707 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 1115 EVELYN GANDY PARKWAY, Petal, MS, 39465
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134612971 | Chandler Hawkins | Individual | General Practice Dentistry | Petal, MS |
| 1306454848 | Hunter Hawkins | Individual | General Practice Dentistry | Petal, MS |
Verify this record
Cross-check NPI 1750906707 against the authoritative CMS record: view Leaf River Dental, Pllc on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Leaf River Dental, Pllc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-06-15.