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KELLUM DENTAL CLINIC
NPI 1528280880
Clinic/Center - Dental in Tupelo, MS

Active since May 03, 2007
505 ROBINS ST, TUPELO, MS 38804(662) 842-5080(662) 842-5896 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kellum Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLUM DENTAL CLINIC (NPI 1528280880) is a healthcare organization registered as a dental in Tupelo, Mississippi and active in the NPI registry since May 2007. The organization lists Shaundi B. Little, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1528280880
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKELLUM DENTAL CLINIC
Location Address505 ROBINS STTupelo, MS 38804-3715
Mailing AddressPo Box 1486Tupelo, MS 38802-1486 · (662) 842-5080 · Fax (662) 842-5896
Phone(662) 842-5080
Fax(662) 842-5896
Organization SubpartNo
Authorized OfficialShaundi B. LittleOffice Manager · (662) 842-5080
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1528280880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Licenses✔ Licensed in MS · 1782-77✔ Licensed in MS · 2554-90
505 ROBINS ST, Tupelo, MS 38804
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL H. KELLUM DDS
Dentist (General Practice)
505 ROBINS ST
TUPELO, MS 38804
Lee County (662) 842-5080
DR. THOMAS N. KELLUM DDS
Dentist (General Practice)
505 ROBINS ST
TUPELO, MS 38804
Lee County (662) 842-8050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellum Dental Clinic's NPI number?

The NPI number for Kellum Dental Clinic is 1528280880. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Kellum Dental Clinic located?

Kellum Dental Clinic is located at 505 Robins St, Tupelo, MS 38804. The listed phone number is (662) 842-5080.

What is Kellum Dental Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Kellum Dental Clinic was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.