| Vincent H Copeland | |
|
1040 Highway 61 South Tunica MS 38676 | |
| (662) 363-2663 | |
| (662) 363-2767 |
| Full Name | Vincent H Copeland |
|---|---|
| Speciality | Dentist |
| Location | 1040 Highway 61 South, Tunica, Mississippi |
| Authorized Official Name and Position | Sallie A Arnett (SECRETARY) |
| Authorized Official Contact | 6623632663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent H Copeland 1040 Hwy 61 South Tunica MS 38676-1918 Ph: (662) 363-2663 | Vincent H Copeland 1040 Highway 61 South Tunica MS 38676 Ph: (662) 363-2663 |
| NPI Number | 1639356611 |
|---|---|
| Provider Enumeration Date | 01/22/2008 |
| Last Update Date | 04/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639356611 | NPI | - | NPPES |
| 09676370 | Medicaid | MS | |
| 00060418 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2475 (Mississippi) | Primary |