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Organization

TUPELO SMILES FAMILY AND COSMETIC DENTISTRY

Active
Other names
Tupelo Smiles
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN P KENNEY D.D.S. (PARTNERSHIP)
(662) 840-1535
Entity
Organization

Contact information

Practice address
101 PARK GATE DR, TUPELO, MS 38801-3033
(662) 840-1535
(662) 844-3823
Mailing address
101 PARKGATE DR, TUPELO, MS 38801
(662) 840-1535
(662) 844-3823

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/22/2007
Last updated
08/25/2011
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