OrganizationActive
Children'S Dental Clinic, PA
NPI 1619579349 · Pediatric Dentistry · Tupelo, MS
Children'S Dental Clinic, PA is a Pediatric Dentistry organization in Tupelo, MS (NPI 1619579349).
Provider details
- NPI number
- 1619579349
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Trice Sumner, President(662) 844-3315
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1555 Medical Park Cir
Tupelo, MS 38801-6580
Phone: (662) 844-3315
Fax: (662) 842-8228
Street-level locationGet directions
Mailing address
1555 Medical Park Cir
Tupelo, MS 38801-6580
Other names (DBA / former)
- Doing business as
- Children'S Dental Clinic
Registry dates
- Enumerated
- 2020-11-09
- Last updated
- 2020-11-09
- Certified
- 2020-11-08
Frequently asked questions
- What is Children'S Dental Clinic, PA's NPI number?
- Children'S Dental Clinic, PA's National Provider Identifier (NPI) is 1619579349, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Children'S Dental Clinic, PA?
- Children'S Dental Clinic, PA is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Children'S Dental Clinic, PA located?
- Children'S Dental Clinic, PA's practice location on file with NPPES is 1555 Medical Park Cir, Tupelo, MS 38801-6580.
- What is Children'S Dental Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for Children'S Dental Clinic, PA is (662) 844-3315.
- Who is the authorized official for Children'S Dental Clinic, PA?
- The authorized official listed on Children'S Dental Clinic, PA's NPPES record is Trice Sumner, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Children'S Dental Clinic, PA's NPI active?
- Yes — Children'S Dental Clinic, PA's NPI (1619579349) is active in the NPPES registry as of the last update on 2020-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.