627 Main Tupelo Professional Pllc

LBN: 627 Main Tupelo Professional Pllc
627 Main Tupelo Professional Pllc is an health care organization with primary practice located at 627 W Main St , Tupelo MS 38804-3732. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. 627 Main Tupelo Professional Pllc can be contacted via phone (662) 840-0066, or through Grumbos, Peter via phone (662) 840-0066.

Contact Information

Primary practice address
627 W Main St Tupelo MS 38804-3732
Phone: (662) 840-0066
Fax: (662) 840-7966
Website:
Map and Directions
Authorized official contact:
Name: Grumbos, Peter Doctor of Dental Surgery (DDS)
Phone: (662) 840-0066

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1255045019
LBN Legal business name 627 Main Tupelo Professional Pllc
DBA Doing business as
Authorized official Grumbos, Peter Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2023
Last updated Jan 6th, 2023 - about 2 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.

Request for update

Popular Providers