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

Individual provider Certified Registered Nurse Anesthetist · NPI 1720004914

Charles E Dalton Jr., CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Tupelo, Mississippi. Qualified in 2003, 23 years ago. Practices with Trident Anesthesia LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
23
Licensed in
MS
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

830 S Gloster
Tupelo, MS 38801
Phone: (662) 377-4394
Fax: (662) 377-7045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R860109 (MS)

Record details

NPI number1720004914
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESNovember 16, 2010
Mailing addressPo Box 3294, Tupelo, MS 38803-3294

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Trident Anesthesia Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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