LEE PULLEN NPI 1063613511

NPI Information

  • NPI: 1063613511
  • Provider Name: LEE PULLEN
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 117 WOOD ST
    WATER VALLEY, MS
    ZIP 38965
  • Phone: (662) 473-2296

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NPI Details

LEE PULLEN is a dental clinic center in Water Valley, MS. LEE PULLEN NPI is 1063613511. The provider is registered as an organization entity type.

The provider's business location address is:

117 WOOD ST
WATER VALLEY, MS
ZIP 38965-602
Phone: (662) 473-2296

The provider's authorized official is Lee Pullen .
The authorized official title is Dentist Owner and has the following contact phone number (662) 473-2296.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 7/21/2022.

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
1261QD0000XClinic/CenterDentalMISSISSIPPIYes

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: 3/30/2025

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