Healthcare Provider Details

I. General information

NPI: 1922368281
Provider Name (Legal Business Name): TURNAGE FAMILY DENTISTRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2012
Last Update Date: 05/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 SPRINGRIDGE RD STE C
CLINTON MS
39056-5612
US

IV. Provider business mailing address

505 SPRINGRIDGE RD STE C
CLINTON MS
39056-5612
US

V. Phone/Fax

Practice location:
  • Phone: 601-924-4494
  • Fax:
Mailing address:
  • Phone: 601-924-4494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number3471
License Number StateMS

VIII. Authorized Official

Name: DR. APRIL A TURNAGE
Title or Position: OWNER
Credential: D.M.D.
Phone: 601-924-4494