Kellum Dental Clinic in Tupelo - Dental
Kellum Dental Clinic - NPI 1528280880
Kellum Dental Clinic is a Dental in Tupelo, Mississippi. Kellum Dental Clinic practices all healthcare services and medical treatments related to Dental. The NPI Number for Kellum Dental Clinic is 1528280880. The last update date is 2020-08-22.
Kellum Dental Clinic's current location address is Po Box 1486, Tupelo, Mississippi. You can contact this provider via phone number 6628425080 and fax number 6628425896. The mailing address for Kellum Dental Clinic is Po Box 1486, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kellum Dental Clinic |
|---|---|
| Address | Po Box 1486, Tupelo, Mississippi |
| Phone Number | 6628425080 |
| Fax Number | 6628425896 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Little B. Shaundi |
| Telephone Number | 6628425080 |
NPI Number Detail
| NPI Number | 1528280880 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 1486 |
|---|---|
| City | Tupelo |
| State | Mississippi (MS) |
| Post Code | 388021486 |
| Phone Number | 6628425080 |
| Fax Number | 6628425896 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 2554-90 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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Post Comment/ Review Below
What is the unique identification code assigned to Kellum Dental Clinic by the Centers for Medicare & Medicaid Services?
The Kellum Dental Clinic has been issued the NPI (National Provider Identifier) 1528280880. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kellum Dental Clinic is located?
The Kellum Dental Clinic is situated at the following address: Po Box 1486, Tupelo, MS, 388021486.
What is Kellum Dental Clinic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kellum Dental Clinic is Dental, and the taxonomy code that categorizes this field of expertise is 261Qd0000X.
When did the Kellum Dental Clinic receive its 1528280880?
The Kellum Dental Clinic was issued its 1528280880 on 2007-05-03, which is the date when the organization was assigned this unique identifier.
As of what date were the Kellum Dental Clinic's details last updated?
The information pertaining to the Kellum Dental Clinic, including its address, specialty, and other details, was most recently updated on 2020-08-22.