| Premier Dental | |
|
1763 Cliff Gookin Blvd Tupelo MS 38801-6723 | |
| (662) 842-2802 | |
| (866) 251-3105 |
| Full Name | Premier Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1763 Cliff Gookin Blvd, Tupelo, Mississippi |
| Authorized Official Name and Position | Lauren S Daigneault (ADMIN DIRECTOR) |
| Authorized Official Contact | 2567839468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental 1763 Cliff Gookin Blvd Tupelo MS 38801-6723 Ph: (662) 842-2802 | Premier Dental 1763 Cliff Gookin Blvd Tupelo MS 38801-6723 Ph: (662) 842-2802 |
| NPI Number | 1760995963 |
|---|---|
| Provider Enumeration Date | 11/09/2017 |
| Last Update Date | 07/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760995963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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