Great Southern Smiles | |
9407 Poplar Ave Germantown TN 38138-8003 | |
(901) 309-6821 | |
Not Available |
Full Name | Great Southern Smiles |
---|---|
Speciality | Dentist - General Practice |
Location | 9407 Poplar Ave, Germantown, Tennessee |
Authorized Official Name and Position | Belinda Huerta (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175402100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Great Southern Smiles 9407 Poplar Ave Germantown TN 38138-8003 Ph: (901) 309-6821 | Great Southern Smiles 9407 Poplar Ave Germantown TN 38138-8003 Ph: (901) 309-6821 |
NPI Number | 1487057162 |
---|---|
Provider Enumeration Date | 10/08/2014 |
Last Update Date | 03/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487057162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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