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NPI 1255045019

OrganizationActive

627 Main Tupelo Professional PLLC

NPI 1255045019 · General Practice Dentistry · Tupelo, MS

Provider details

NPI number: 1255045019
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Authorized official: Peter Grumbos, Owner

Practice location

627 W Main St

Tupelo, MS 38804-3732

Phone: (662) 840-0066

Fax: (662) 840-7966

More MS providers

Mailing address

627 W Main St

Tupelo, MS 38804-3732

Registry dates

Enumerated: 2023-01-06
Last updated: 2023-01-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

627 Main Tupelo Professional PLLC — NPI 1255045019, Tupelo, MS | NPI Central