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CHILDREN'S DENTAL CLINIC, PA
NPI 1619579349
Dentist - Pediatric Dentistry in Tupelo, MS

Active since November 09, 2020
1555 MEDICAL PARK CIR, TUPELO, MS 38801(662) 844-3315(662) 842-8228 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Children's Dental Clinic, Pa NPPES

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

CHILDREN'S DENTAL CLINIC, PA (NPI 1619579349), doing business as Children's Dental Clinic, is a healthcare organization registered as a pediatric dentistry in Tupelo, Mississippi and active in the NPI registry since November 2020. The organization lists Trice W Sumner, President, as its authorized official.

NPPES Registry Identity

NPI1619579349
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDREN'S DENTAL CLINIC, PA
Location Address1555 MEDICAL PARK CIRTupelo, MS 38801-6580
Mailing Address1555 Medical Park CirTupelo, MS 38801-6580 · (662) 844-3315 · Fax (662) 842-8228
Phone(662) 844-3315
Fax(662) 842-8228
Organization SubpartNo
Authorized OfficialTrice W SumnerPresident · (662) 844-3315
Enumeration DateNovember 9, 2020
NPPES CertifiedNovember 8, 2020
✔ NPI 1619579349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1555 MEDICAL PARK CIR, Tupelo, MS 38801
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Other Names 1

Doing Business AsChildren's Dental Clinic

Other Identifiers 1

Medicaid00660366MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

RICHARD B WARRINER DDS PA
Dentist (Pediatric Dentistry)
1555 MEDICAL PARK CIR
TUPELO, MS 38801
Lee County (662) 844-3315
DR. TRICE WARRINER SUMNER DDS
Dentist (Pediatric Dentistry)
1555 MEDICAL PARK CIR
TUPELO, MS 38801
Lee County (662) 844-3315
DR. RICHARD BASCOMB WARRINER III DDS
Dentist (Pediatric Dentistry)
1555 MEDICAL PARK CIR
TUPELO, MS 38801
Lee County (662) 844-3315

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 Children's Dental Clinic, PA's NPI number?

The NPI number for Children's Dental Clinic, PA is 1619579349. It was assigned to this organization in the NPPES registry on November 9, 2020. The provider is doing business as Children's Dental Clinic.

Where is Children's Dental Clinic, PA located?

Children's Dental Clinic, PA is located at 1555 Medical Park Cir, Tupelo, MS 38801. The listed phone number is (662) 844-3315.

What is Children's Dental Clinic, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Children's Dental Clinic, PA was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.