DR. ALBERT WAYNE TUTOR JR. (NPI# 1255439501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255439501 |
| Entity Type | Individual |
| Full Name | DR. ALBERT WAYNE TUTOR JR. |
| Credential | D.M.D. |
| Practice Address |
25 Eastgate Dr Suite A Brandon MS 39042-2317 |
| Practice Telephone | 6018243500 |
| Practice Fax Number | 6018246501 |
| Mailing Telephone | 6018243500 |
| Mailing Fax Number | 6018246501 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
OR362-02 | MS | Dental Providers |
| Street Address |
25 EASTGATE DR SUITE A |
| City | BRANDON |
| State | MS |
| Zip Code | 39042-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477796977 | Albert W. Tutor, Jr., D.m.d. Pa | Dentist | 25 Eastgate Dr, Suite A, Brandon, MS 39042-2317 | 2009-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164633483 | Eric R Turke | Dentist | 328 E Bloomingdale Ave, Brandon, FL 33511-8155 | 2007-05-25 |
| 1255455960 | John A. Busciglio | Dentist | 515 Corner Dr, Brandon, FL 33511-5718 | 2007-03-19 |
| 1861537060 | Alan D. Shoopak, D.m.d., P.a. | Dentist | 2488 W Brandon Blvd, Suite B, Brandon, FL 33511-4717 | 2007-02-21 |
| 1578576195 | Richard Lee Simpson | Dentist | 5352 Highway 25, Suite 1900, Brandon, MS 39047-7505 | 2006-08-14 |
| 1073574695 | Neal Allan Stubbs | Dentist | 929 Oakfield Dr, Brandon, FL 33511-4935 | 2006-03-31 |
| 1891761011 | Bruce W Scarola | Dentist | 213 A Kingsway Rd., North, Brandon, FL 33510 | 2006-02-27 |
| 1265968135 | Ruben Viloria | Dentist | 107 W Robertson St, Brandon, FL 33511-5111 | 2017-05-11 |
| 1750607842 | Derek Michael Busciglio | Dentist | 515 Corner Dr, Brandon, FL 33511-5718 | 2010-04-14 |
| 1477796977 | Albert W. Tutor, Jr., D.m.d. Pa | Dentist | 25 Eastgate Dr, Suite A, Brandon, MS 39042-2317 | 2009-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200673 | Blake Denton Boleware | Dentist | 525 Thomastown Ln Ste A, Ridgeland, MS 39157-3440 | 2020-09-17 |
| 1386277291 | Smile Straight Orthodontics-central Ms Pllc | Dentist | 310 W Woodrow Wilson Ave Ste 400, Jackson, MS 39213-7697 | 2020-02-19 |
| 1225692213 | Roberts & Garza Orthodontics Services Pllc | Dentist | 946 Goodman Rd E, Southaven, MS 38671-8825 | 2019-04-25 |
| 1194294652 | Roberts & Garza Orthodontics Services Pllc | Dentist | 101 N Industrial Rd Ste H, Tupelo, MS 38801-3441 | 2018-11-14 |
| 1689157588 | Hop Orthodontics | Dentist | 120 S 28th Ave, Hattiesburg, MS 39401-7151 | 2018-09-07 |
| 1508359340 | Legendary Orthodontics, LLC | Dentist | 3225 Audubon Dr, Laurel, MS 39440-1422 | 2018-06-06 |
| 1790274603 | Gregory Goggans, D.m.d., P.C. | Dentist | 6420 Highway 11 N Ste C, Carriere, MS 39426-7146 | 2018-05-07 |
| 1114414802 | Magnolia Orthodontics | Dentist | 4348 Lincoln Road, Hattiesburg, MS 39402 | 2018-04-18 |
| 1598212623 | Edward Victor Brown Jr. | Dentist | 15465 Oak Lane, Gulfport, MS 39564 | 2016-09-07 |
| 1275086456 | Jessica Pongett | Dentist | 2408 S Lamar Blvd Ste 2, Oxford, MS 38655-5345 | 2016-07-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.