Children'S Dental Clinic, Pa

LBN: Children'S Dental Clinic, Pa
Children'S Dental Clinic, Pa is an health care organization with primary practice located at 1555 Medical Park Cir , Tupelo MS 38801-6580. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Children'S Dental Clinic, Pa can be contacted via phone (662) 844-3315, or through Sumner, Trice W via phone (662) 844-3315.

Contact Information

Primary practice address
1555 Medical Park Cir Tupelo MS 38801-6580
Phone: (662) 844-3315
Fax: (662) 842-8228
Website:
Map and Directions
Authorized official contact:
Name: Sumner, Trice W Doctor of Dental Surgery (DDS)
Phone: (662) 844-3315

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1619579349
LBN Legal business name Children'S Dental Clinic, Pa
DBA Doing business as
Authorized official Sumner, Trice W Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2020
Last updated Nov 9th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619579349 NPPES
Mississippi MEDICAID 00660366

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