| NPI | 1255439501 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-09-20 |
| Last Updated | 2007-07-09 |
| Mailing Address | 25 Eastgate Dr, Suite A Brandon, MS 39042-2317 United States Phone: (601) 824-3500 | Fax: (601) 824-6501 📍 View Map |
| Primary Practice Address | 25 Eastgate Dr, Suite A Brandon, MS 39042-2317 United States Phone: (601) 824-3500 | Fax: (601) 824-6501 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MS | 006600444 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 1223X0400X – Dentist, Orthodontics and Dentofacial Orthopedics | MS | OR362-02 |
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About NPI 1255439501
Albert Wayne Tutor D.M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1255439501. The primary specialty listed is Dentist, Orthodontics and Dentofacial Orthopedics. The provider is located in Brandon, MS. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1255439501?
NPI 1255439501 belongs to Albert Wayne Tutor D.M.D., a Dentist, Orthodontics and Dentofacial Orthopedics in Brandon, MS. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1255439501 active?
The current status of NPI 1255439501 in the NPPES registry is Active. The record was last updated on 2007-07-09.
What specialty is NPI 1255439501?
NPI 1255439501 is classified under the taxonomy Dentist, Orthodontics and Dentofacial Orthopedics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1255439501?
You can verify NPI 1255439501 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1255439501?
The primary practice address on file for NPI 1255439501 is 25 Eastgate Dr, Brandon, MS 39042-2317. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1255439501 issued?
NPI 1255439501 was first issued (enumerated) on 2006-09-20. The NPPES record was last updated on 2007-07-09.
Practice Location Map
Albert Wayne Tutor is located at 25 Eastgate Dr, Brandon, MS. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Albert Wayne Tutor. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1255439501. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | OR362-02 | MS |