| Heather Killebrew Tutor, Dmd, Pa | |
|
302 Court Square Lexington MS 39095 | |
| (662) 834-9899 | |
| (662) 834-9895 |
| Full Name | Heather Killebrew Tutor, Dmd, Pa |
|---|---|
| Speciality | Dentist |
| Location | 302 Court Square, Lexington, Mississippi |
| Authorized Official Name and Position | Heather Killebrew Tutor (OWNER) |
| Authorized Official Contact | 6628349899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Killebrew Tutor, Dmd, Pa 302 Court Square Lexington MS 39095 Ph: (662) 834-9899 | Heather Killebrew Tutor, Dmd, Pa 302 Court Square Lexington MS 39095 Ph: (662) 834-9899 |
| NPI Number | 1205082963 |
|---|---|
| Provider Enumeration Date | 08/13/2008 |
| Last Update Date | 01/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205082963 | NPI | - | NPPES |
| 09015878 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3145-00 (Mississippi) | Primary |
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