institution
Children's Dental Clinic, Pa
Pediatric Dentist in Tupelo, Mississippi
NPI 1619579349

Children's Dental Clinic, Pa is a Pediatric Dentist based in Tupelo, MS and is specialized in Pediatric Dentistry. Children's Dental Clinic, Pa practices in Tupelo, MS. The NPI Number for Children's Dental Clinic, Pa is 1619579349 and holds a License No. (Mississippi).

The current practice location address for Children's Dental Clinic, Pa is 1555 Medical Park Cir, Tupelo, MS and can be reached out via phone at 662-844-3315 and via fax at 662-842-8228.

Location: 1555 Medical Park Cir, Tupelo, MS, 38801-6580
institution
Provider Profile Details
NPI Number
1619579349
Provider Name
Children's Dental Clinic, Pa
Credential
Provider Entity Type
Organization
Address
1555 Medical Park Cir, Tupelo, MS, 38801-6580
Phone Number
662-844-3315
Fax Number
662-842-8228
Provider Enumeration Date
11/09/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00660366 05 MS
institution
Provider Business Practice Location Address Details
Address
1555 Medical Park Cir
City
State
Zip
38801-6580
Phone Number
662-844-3315
Fax Number
662-842-8228
person
Provider Business Mailing Address Details
Address
1555 Medical Park Cir
City
State
Zip
38801-6580
Phone Number
662-844-3315
Fax Number
662-842-8228
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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