| Braxton Family Dentistry Llc | |
|
1154 S Bellevue Blvd Memphis TN 38106-3428 | |
| (901) 775-0870 | |
| (901) 775-0873 |
| Full Name | Braxton Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1154 S Bellevue Blvd, Memphis, Tennessee |
| Authorized Official Name and Position | Sonia Denise Braxton (DENTIST) |
| Authorized Official Contact | 9017750870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Braxton Family Dentistry Llc 1154 S Bellevue Blvd Memphis TN 38106-3428 Ph: (901) 775-0870 | Braxton Family Dentistry Llc 1154 S Bellevue Blvd Memphis TN 38106-3428 Ph: (901) 775-0870 |
| NPI Number | 1386815462 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386815462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7160 (Tennessee) | Primary |
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