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Contact Information

TENNESSEE DENTAL PROFESSIONALS PC
370 COLONIAL ROAD
3
MEMPHIS, TN38117
 Phone: 901-853-9800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for TENNESSEE DENTAL PROFESSIONALS PC

NPI Number 1255760385
LBN Legal business name TENNESSEE DENTAL PROFESSIONALS PC
Authorized official KIM WILSON - (CRED SUPERVISOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/08/2013
Last updated 09/17/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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