| Dr Stephanie Sullivan Tullos, DMD | |
|
276 Magnolia Dr, Raleigh, MS 39153-6016 | |
| (601) 782-9909 | |
| (601) 782-9133 |
| Full Name | Dr Stephanie Sullivan Tullos |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 276 Magnolia Dr, Raleigh, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063683472 | NPI | - | NPPES |
| 00077253 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3265-03 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephanie Sullivan Tullos, DMD 276 Magnolia Dr, Raleigh, MS 39153-6016 Ph: (601) 782-9909 | Dr Stephanie Sullivan Tullos, DMD 276 Magnolia Dr, Raleigh, MS 39153-6016 Ph: (601) 782-9909 |
Miss Chauncey Lauren Craft, Dentist Medicare: Not Enrolled in Medicare Practice Location: 276 Magnolia Dr, Raleigh, MS 39153 Phone: 990-960-1782 | |
Vaniecia Wilson, DMD Dentist Medicare: Medicare Enrolled Practice Location: 226 Whiteoak Ave, Raleigh, MS 39153 Phone: 601-782-9919 | |
Dr. Georgia Caroline May Mars, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 276 Magnolia Dr, Raleigh, MS 39153 Phone: 601-782-9909 | |
Dr. Lane Napier Baxter, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 226 Highway 18 West, Raleigh, MS 39153 Phone: 601-782-9919 | |
Dr. Olha Mckay, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 226 Whiteoak Ave, Raleigh, MS 39153 Phone: 601-782-9919 |