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

Kellum Dental Clinic

Organization Dental Clinic/Center · NPI 1528280880

Kellum Dental Clinic is a Dental Clinic/Center in Tupelo, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
Specialties on file
2

Practice location Address checks out

505 Robins St
Tupelo, MS 38804-3715
Phone: (662) 842-5080
Fax: (662) 842-5896
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 1782-77 (MS)
Dental Clinic/Center Taxonomy 261QD0000X · Licence 2554-90 (MS)

Record details

NPI number1528280880
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaundi Little — Office Manager · (662) 842-5080
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1486, Tupelo, MS 38802-1486

Other providers in Tupelo