Individual
DR. RICHARD BASCOMB WARRINER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
Primary
PEDO478
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00064652
—
MS
Enumeration date
09/07/2006
Last updated
02/02/2012
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