Healthcare Provider Details

I. General information

NPI: 1437094190
Provider Name (Legal Business Name): BLAINE JOSEPH TURNER JR. DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3999 N GLOSTER ST STE D
TUPELO MS
38804-0950
US

IV. Provider business mailing address

520 WALKER CIR
NEW ALBANY MS
38652-1017
US

V. Phone/Fax

Practice location:
  • Phone: 662-778-2002
  • Fax:
Mailing address:
  • Phone: 601-966-2722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number112723
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: