627 MAIN TUPELO PROFESSIONAL PLLC 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. 627 MAIN TUPELO PROFESSIONAL PLLC NPI is 1255045019. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
627 W MAIN ST
TUPELO, MS
ZIP 38804-732
Phone: (662) 840-0066
Fax: (662) 840-7966
The provider's authorized official is Peter Grumbos .
The authorized official title is Owner and has the following contact phone number (662) 840-0066.
The enumeration date for this NPI number is 1/6/2023 and was last updated on 1/6/2023.