| Audubon Dental Group | |
|
2059 S Houston Levee Rd Suite 126 Germantown TN 38139-6970 | |
| (901) 853-9800 | |
| Not Available |
| Full Name | Audubon Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2059 S Houston Levee Rd, Germantown, Tennessee |
| Authorized Official Name and Position | Robert Leon Parrish (DENTIST/BUSINESS OWENER) |
| Authorized Official Contact | 9018539800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Audubon Dental Group 2059 S Houston Levee Rd Suite 126 Germantown TN 38139-6970 Ph: (901) 853-9800 | Audubon Dental Group 2059 S Houston Levee Rd Suite 126 Germantown TN 38139-6970 Ph: (901) 853-9800 |
| NPI Number | 1124398805 |
|---|---|
| Provider Enumeration Date | 01/11/2012 |
| Last Update Date | 01/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124398805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS3021 (Tennessee) | Primary |
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