Collierville Family Dentistry | |
2130 W Poplar Ave Suite 106 Collierville TN 38017-0615 | |
(901) 861-7007 | |
(901) 861-7066 |
Full Name | Collierville Family Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 2130 W Poplar Ave, Collierville, Tennessee |
Authorized Official Name and Position | Denise M Harris (PRACTICE MANAGER) |
Authorized Official Contact | 9018617098 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Collierville Family Dentistry 2130 W Poplar Ave Suite 106 Collierville TN 38017-0615 Ph: (901) 861-7007 | Collierville Family Dentistry 2130 W Poplar Ave Suite 106 Collierville TN 38017-0615 Ph: (901) 861-7007 |
NPI Number | 1346381977 |
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Provider Enumeration Date | 02/08/2007 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346381977 | NPI | - | NPPES |
1700905080 | Other | TN | GENERAL DENTIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (Tennessee) | Primary |
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› Verified 8 days ago
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