| Atoka Family Dentistry | |
|
11092 Highway 51 S Ste B Atoka TN 38004-4947 | |
| (901) 840-2323 | |
| (901) 840-2328 |
| Full Name | Atoka Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11092 Highway 51 S Ste B, Atoka, Tennessee |
| Authorized Official Name and Position | Kenya J. Larkins (DENTIST) |
| Authorized Official Contact | 9018402323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atoka Family Dentistry Po Box 647 Atoka TN 38004-0647 Ph: (901) 840-2323 | Atoka Family Dentistry 11092 Highway 51 S Ste B Atoka TN 38004-4947 Ph: (901) 840-2323 |
| NPI Number | 1750553897 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750553897 | NPI | - | NPPES |
| 9177400 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS8220 (Tennessee) | Primary |
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