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RICHARD B WARRINER DDS PA NPI 1558464123


NPI Information

NPI: 1558464123
Provider Name: RICHARD B WARRINER DDS PA

Doing Business As: CHILDRENS DENTAL CLINIC

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1555 MEDICAL PARK CIR
TUPELO, MS
ZIP 38801
Phone: (662) 844-3315
Get Directions

RICHARD B WARRINER DDS PA is a pediatric dentistry dentist in Tupelo, MS. The provider is 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. RICHARD B WARRINER DDS PA NPI is 1558464123. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Childrens Dental Clinic.

The provider's business location address is:

1555 MEDICAL PARK CIR
TUPELO, MS
ZIP 38801
Phone: (662) 844-3315
Fax: (662) 842-8228

The provider's authorized official is Trice Warriner Sumner .
The authorized official title is Pediatric Dentist Owner and has the following contact phone number (662) 844-3315.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryPEDO34400NEW YORKNo
21223P0221XDentistPediatric DentistryPEDO478NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
109015476MEDICAIDMISSISSIPPI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.