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Ms. Shamina Khanum, DENTIST
General Practice Dentistry in Tupelo, Mississippi
NPI 1053724120

Shamina Khanum is a General Practice Dentistry based in Tupelo, MS and is specialized in General Practice. Shamina Khanum practices in Tupelo, MS and has the professional credentials of DENTIST. The NPI Number for Shamina Khanum is 1053724120 and holds a License No. 4090-19 (Mississippi).

The current practice location address for Shamina Khanum is 401 S Gloster St Ste 101, Sunnybrook Dentistry, Tupelo, MS and can be reached out via phone at 662-346-5906 and via fax at 678-247-7874.

Location: 401 S Gloster St Ste 101, Sunnybrook Dentistry, Tupelo, MS, 38801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053724120
Provider Name
Shamina Khanum
Credential
DENTIST
Provider Entity Type
Individual
Gender
Female
Address
401 S Gloster St Ste 101, Sunnybrook Dentistry, Tupelo, MS, 38801
Phone Number
662-346-5906
Fax Number
678-247-7874
Provider Enumeration Date
06/06/2014
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
401 S Gloster St Ste 101, Sunnybrook Dentistry
City
Tupelo
State
Mississippi
Zip
38801
Phone Number
662-346-5906
Fax Number
678-247-7874
person
Provider Business Mailing Address Details
Address
401 S Gloster St Ste 101, Sunnybrook Dentistry
City
Tupelo
State
Mississippi
Zip
38801
Phone Number
662-346-5906
Fax Number
678-247-7874
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4090-19 (Mississippi)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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