Organization
TUTOR FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER KILLEBREW TUTOR DMD (OWNER)
(601) 292-9772
Entity
Organization
Contact information
Practice address
2815 OLD BRANDON RD, PEARL, MS 39208-4704
(601) 497-5888
Mailing address
2815 OLD BRANDON RD, PEARL, MS 39208-4704
(601) 292-9772
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0660397
—
MS
Enumeration date
12/01/2021
Last updated
03/05/2022
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