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Ld-Tupelo, LLC — NPI 1760995963, Tupelo, MS | NPI Central

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NPI 1760995963

OrganizationActive

Ld-Tupelo, LLC

NPI 1760995963 · Dental Clinic/Center · Tupelo, MS

Provider details

NPI number: 1760995963
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Lauren Daigneault, Admin Director(256) 783-9468

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

1763 Cliff Gookin Blvd

Tupelo, MS 38801-6723

Phone: (662) 842-2802

Fax: (866) 251-3105

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

1763 Cliff Gookin Blvd

Tupelo, MS 38801-6723

Other names (DBA / former)

Doing business as: Premier Dental

Registry dates

Enumerated: 2017-11-09
Last updated: 2023-07-07
Certified: 2023-07-07

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