Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Children's Dental Clinic, PA

Organization Pediatric Dentistry · NPI 1619579349

Children's Dental Clinic, PA is a Pediatric Dentistry in Tupelo, Mississippi. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1555 Medical Park Cir
Tupelo, MS 38801-6580
Phone: (662) 844-3315
Fax: (662) 842-8228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1619579349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trice Sumner — President · (662) 844-3315
Other names Children'S Dental Clinic
NPI enumeratedNovember 9, 2020
Last updated in NPPESNovember 9, 2020
Certification dateNovember 8, 2020
Mailing address1555 Medical Park Cir, Tupelo, MS 38801-6580

Other providers in Tupelo