DR. DEREK WARREN D.M.D M.S. NPI 1396103933

NPI Information

NPI: 1396103933
Provider Name: DR. DEREK WARREN, D.M.D , M.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
499 GLOSTER CREEK VILLAGE
SUITE F-5A
TUPELO, MS
ZIP 38801
Phone: (662) 844-9580
Get Directions

DR. Derek Warren, D.M.D , M.S. is a general practice dentist in Tupelo, MS. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Derek Warren, D.M.D , M.S. NPI is 1396103933. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

499 GLOSTER CREEK VILLAGE
SUITE F-5A
TUPELO, MS
ZIP 38801
Phone: (662) 844-9580
Fax: (662) 844-9103

The enumeration date for this NPI number is 2/9/2016 and was last updated on 9/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	3852-16	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	06227838	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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