Provider Demographics
NPI:1972527034
Name:TURNER, VALERIE J (DMD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:J
Last Name:TURNER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:L
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1005 HOPE DR
Mailing Address - Street 2:
Mailing Address - City:MCCOMB
Mailing Address - State:MS
Mailing Address - Zip Code:39648-8714
Mailing Address - Country:US
Mailing Address - Phone:601-250-4115
Mailing Address - Fax:601-250-4116
Practice Address - Street 1:1071 HIGHWAY 51 AND 98
Practice Address - Street 2:
Practice Address - City:MCCOMB
Practice Address - State:MS
Practice Address - Zip Code:39648
Practice Address - Country:US
Practice Address - Phone:601-250-4115
Practice Address - Fax:601-250-4116
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS325603122300000X
MSPEDO387051223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS01251358Medicaid
MS06708221Medicaid