Heather Killebrew Tutor, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3145-00 Issued in MS

Practice address

102 Carrollton Ave
Lexington, MS 39095-3250

Phone

(662) 834-9899

Fax

(662) 834-9895

NPI assigned

Aug 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tutor Family Dentistry LLC

  • Dental Clinic/Center
  • Pearl, MS
  • NPI 1568120194
  NPD Authorized official
• Heather Killebrew Tutor, DMD, PA

  • Dentist
  • Lexington, MS
  • NPI 1205082963
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043220312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CARROLLTON AVE",
            "address_2": "P O BOX 734",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953250",
            "telephone_number": "662-834-9899",
            "fax_number": "662-834-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CARROLLTON AVE",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953250",
            "telephone_number": "662-834-9899",
            "fax_number": "662-834-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTOR",
        "first_name": "HEATHER",
        "middle_name": "KILLEBREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3145-00",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015878",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• State of Mississippi - University of Mississippi Medical Center (Holmes Family Medical Clinic)
• State of Mississippi - University of Mississippi Medical Center (Holmes County Hospital and Clinic)
• Gerald W Stinson Jr., O.D.
• Lindsay Taylor, R.D.
• The Way of Life Adult Day Care Inc
• Univ Hospital Holmes County
• Univ Hospital Holmes County
• Edith Wade, L.D.
• Sarah Spencer Walker, BC-C
• Amber Fly Westbrooks, L.D.

• General Practice Dentistry in Lexington, MS
• Providers in Lexington, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.