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Organization
RICHARD B WARRINER DDS PA
Active
Organization
RICHARD B WARRINER DDS PA
Active
Other names
Childrens Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRICE WARRINER SUMNER DDS (PEDIATRIC DENTIST OWNER)
(662) 844-3315
Entity
Organization
Contact information
Practice address
1555 MEDICAL PARK CIR, TUPELO, MS 38801
(662) 844-3315
(662) 842-8228
Mailing address
1555 MEDICAL PARK CIR, TUPELO, MS 38801
(662) 844-3315
(662) 842-8228
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
PEDO34400
MS
1223P0221X
Pediatric Dentistry
Primary
PEDO478
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015476
—
MS
Enumeration date
09/07/2006
Last updated
08/22/2020
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