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
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
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.