Organization
TUPELO ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT JOHNSON CRUMPTON DMD MS (OWNER)
(662) 823-3636
Entity
Organization
Contact information
Practice address
1465 MEDICAL PARK CIR, TUPELO, MS 38801-6595
(662) 823-3636
Mailing address
1465 MEDICAL PARK CIR, TUPELO, MS 38801-6595
(662) 823-3636
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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