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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Roderick L. Coleman, D.M.D., PA

Pediatric Dentistry in Vicksburg, MS · enumerated 2007 · authorized official Roderick Coleman, Owner.

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

National Provider Identifier

1962686394

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Registry record

Entity type Organization (Type 2)
Legal business name Roderick L. Coleman, D.M.D., PA
Practice address 120 Holt Collier Dr, Suite D, Vicksburg, MS, 39183
Fax (601) 619-4667
Enumeration date Dec 20, 2007
Last updated in NPPES Dec 20, 2007

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers · License 315300 (MS) Primary

Authorized official

Name Roderick Coleman
Title Owner

Other identifiers

Identifier Type State Issuer
02988820 Medicaid MS -

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 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.
What type of organization is Roderick L. Coleman, D.M.D., PA?
Roderick L. Coleman, D.M.D., PA is registered in NPPES as a Pediatric Dentistry (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-12-20.