| Charles E Atkins, Jr Dmd | |
|
499 Gloster Creek Vlg Ste F-8n Tupelo MS 38801-4600 | |
| (662) 678-1028 | |
| (662) 678-1024 |
| Full Name | Charles E Atkins, Jr Dmd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 499 Gloster Creek Vlg, Tupelo, Mississippi |
| Authorized Official Name and Position | Tori Mordecai (OFFICE MANAGER) |
| Authorized Official Contact | 6623293931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E Atkins, Jr Dmd 137 Plantation Dr Columbus MS 39705-1138 Ph: (662) 329-3931 | Charles E Atkins, Jr Dmd 499 Gloster Creek Vlg Ste F-8n Tupelo MS 38801-4600 Ph: (662) 678-1028 |
| NPI Number | 1952430878 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952430878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 1284-07 (Mississippi) | Primary |
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