| Tutor Family Dentistry Llc | |
|
2815 Old Brandon Rd Pearl MS 39208-4704 | |
| (601) 497-5888 | |
| Not Available |
| Full Name | Tutor Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2815 Old Brandon Rd, Pearl, Mississippi |
| Authorized Official Name and Position | Heather Killebrew Tutor (OWNER) |
| Authorized Official Contact | 6012929772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tutor Family Dentistry Llc 2815 Old Brandon Rd Pearl MS 39208-4704 Ph: (601) 292-9772 | Tutor Family Dentistry Llc 2815 Old Brandon Rd Pearl MS 39208-4704 Ph: (601) 497-5888 |
| NPI Number | 1568120194 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 03/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568120194 | NPI | - | NPPES |
| 0660397 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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