Tennisha Buckner

General Practice Dentistry · Tupelo, MS

Individual Active NPI

NPI number 1821447657

Practice location

401 S Gloster St
Tupelo, MS 38801-5540
Phone
(662) 269-4027

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NPI record

NPI
1821447657
Entity type
Individual (Type 1)
Enumeration date
June 13, 2016
Last updated
June 13, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3870-16 MS

Mailing address

118a Woodstone Pl
Clinton, MS 39056-4936

About Tennisha Buckner

Tennisha Buckner is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 401 S Gloster St, Tupelo, MS 38801-5540. The NPI number 1821447657 was assigned on June 13, 2016 and the record was last updated on June 13, 2016.

Tennisha Buckner lists a license in the registry: #3870-16 (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 Tennisha Buckner?

The NPI number is 1821447657.

What is the phone number of Tennisha Buckner?

The phone number listed for the practice location is (662) 269-4027.

Where is Tennisha Buckner located?

401 S Gloster St, Tupelo, MS 38801-5540.

What is the taxonomy code for Tennisha Buckner?

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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