Purfixsmile Dental, Inc | |
9245 Poplar Ave 8-161 Germantown TN 38138-7931 | |
(901) 414-0350 | |
Not Available |
Full Name | Purfixsmile Dental, Inc |
---|---|
Speciality | Dentist - General Practice |
Location | 9245 Poplar Ave, Germantown, Tennessee |
Authorized Official Name and Position | Philip Carter (CEO/DENTISIT) |
Authorized Official Contact | 9014140350 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Purfixsmile Dental, Inc 9245 Poplar Ave 8-161 Germantown TN 38138-7931 Ph: () - | Purfixsmile Dental, Inc 9245 Poplar Ave 8-161 Germantown TN 38138-7931 Ph: (901) 414-0350 |
NPI Number | 1154569663 |
---|---|
Provider Enumeration Date | 01/22/2009 |
Last Update Date | 11/02/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154569663 | NPI | - | NPPES |
5442018 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8726 (Tennessee) | Primary |
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