Individual
DR. TYLERE NUNNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6028
(601) 984-6039
Mailing address
53 NORTHTOWN DR APT 32C, JACKSON, MS 39211-3801
(601) 551-9009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4062-19
MS
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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