Provider Demographics
NPI:1336207208
Name:TURNAGE,JR., FRANK MCPHEARSON (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:MCPHEARSON
Last Name:TURNAGE,JR.
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CANE CV
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-7922
Mailing Address - Country:US
Mailing Address - Phone:601-296-7592
Mailing Address - Fax:601-268-3561
Practice Address - Street 1:5448 U S HIGHWAY 49
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-7806
Practice Address - Country:US
Practice Address - Phone:601-296-7592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS131668122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS4038010Medicaid