Children's Dental Center Of West Tennessee | |
2028 W Poplar Ave Ste 110 Collierville TN 38017-0618 | |
(901) 861-9668 | |
(901) 861-9582 |
Full Name | Children's Dental Center Of West Tennessee |
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Speciality | Dentist - Pediatric Dentistry |
Location | 2028 W Poplar Ave, Collierville, Tennessee |
Authorized Official Name and Position | Chris Rowland (DENTIST) |
Authorized Official Contact | 9018619668 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Children's Dental Center Of West Tennessee 2028 W Poplar Ave Ste 110 Collierville TN 38017-0618 Ph: (901) 861-9668 | Children's Dental Center Of West Tennessee 2028 W Poplar Ave Ste 110 Collierville TN 38017-0618 Ph: (901) 861-9668 |
NPI Number | 1154350874 |
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Provider Enumeration Date | 07/03/2006 |
Last Update Date | 03/31/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154350874 | NPI | - | NPPES |
3206803 | Medicaid | TN | |
4100868 | Other | TN | BLUE CROSS/ BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 7778 (Tennessee) | Primary |
Halle Park Family Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 Halle Park Cir, Collierville, TN 38017 Phone: 901-457-7753 | |
Aesthetic Dentistry Of Collierville Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 362 New Byhalia Rd, Suite #3, Collierville, TN 38017 Phone: 901-853-8116 Fax: 901-853-0134 | |