Organization · Type 2 NPI

627 Main Tupelo Professional PLLC

General Practice Dentistry · Tupelo, MS

NPI number 1255045019 Active

About NPI 1255045019

627 Main Tupelo Professional PLLC's National Provider Identifier is 1255045019, issued on Jan 6, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tupelo, MS. The record was last updated on Jan 6, 2023.