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PREMIER DENTAL
NPI 1760995963
Clinic/Center - Dental in Tupelo, MS

Active since November 09, 2017
1763 CLIFF GOOKIN BLVD, TUPELO, MS 38801(662) 842-2802(866) 251-3105 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2023, Sep 8, 2022, Apr 12, 2018 and 1 more (4 updates tracked since 2017).

About Premier Dental NPPES

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

PREMIER DENTAL (NPI 1760995963) is a healthcare organization registered as a dental in Tupelo, Mississippi and active in the NPI registry since November 2017. The organization lists Lauren S Daigneault, Admin Director, as its authorized official.

NPPES Registry Identity

NPI1760995963
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLD-TUPELO, LLC
Location Address1763 CLIFF GOOKIN BLVDTupelo, MS 38801-6723
Mailing Address1763 Cliff Gookin BlvdTupelo, MS 38801-6723 · (662) 842-2802 · Fax (866) 251-3105
Phone(662) 842-2802
Fax(866) 251-3105
Organization SubpartNo
Authorized OfficialLauren S DaigneaultAdmin Director · (256) 783-9468
Enumeration DateNovember 9, 2017
Last NPPES UpdateJuly 7, 20234 updates tracked since enumeration
NPPES CertifiedJuly 7, 2023
✔ NPI 1760995963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1763 CLIFF GOOKIN BLVD, Tupelo, MS 38801
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Other Names 1

Doing Business AsPremier Dental

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

DR. JAMES KEATON LANG DMD
Dentist
1763 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Lee County (662) 842-2802
DR. JOHN T LAMBERTH DMD
Dentist (General Practice)
1763 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Lee County (662) 842-2802
DR. CHRISTOPHER ALEX RIAL DMD
Dentist (General Practice)
1763 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Lee County (662) 842-2802
DR. NOAH WALTON HILL DDS
Dentist
1763 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Lee County (662) 842-2802
DR. KYLE WINSTON TUBB DMD
Dentist (General Practice)
1763 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Lee County (662) 842-2802

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 Ld-Tupelo, LLC's NPI number?

The NPI number for Ld-Tupelo, LLC is 1760995963. It was assigned to this organization in the NPPES registry on November 9, 2017. The provider is doing business as Premier Dental.

Where is Ld-Tupelo, LLC located?

Ld-Tupelo, LLC is located at 1763 Cliff Gookin Blvd, Tupelo, MS 38801. The listed phone number is (662) 842-2802.

What is Ld-Tupelo, LLC's specialty?

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

What insurance does Ld-Tupelo, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Ld-Tupelo, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ld-Tupelo, LLC was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.