Miles Backstrom

General Practice Dentistry · Saltillo, MS

Individual Active NPI

NPI number 1740768332

Practice location

2690 Highway 145
Saltillo, MS 38866-6941
Phone
(662) 869-2100

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NPI record

NPI
1740768332
Entity type
Individual (Type 1)
Enumeration date
August 6, 2018
Last updated
February 21, 2024
Certified
February 21, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3990-18 MS

Mailing address

726 Highland Park Dr
Tupelo, MS 38801-8901
Phone
(662) 397-3749

About Miles Backstrom

Miles Backstrom is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2690 Highway 145, Saltillo, MS 38866-6941. The NPI number 1740768332 was assigned on August 6, 2018 and the record was last updated on February 21, 2024.

Miles Backstrom lists a license in the registry: #3990-18 (MS) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Miles Backstrom?

The NPI number is 1740768332.

What is the phone number of Miles Backstrom?

The phone number listed for the practice location is (662) 869-2100.

Where is Miles Backstrom located?

2690 Highway 145, Saltillo, MS 38866-6941.

What is the taxonomy code for Miles Backstrom?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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