|
| |
|
2130 W Poplar Ave Suite 106 Collierville TN 38017-0615 | |
| (901) 861-7007 | |
| (901) 861-7066 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2130 W Poplar Ave, Collierville, Tennessee |
| Authorized Official Name and Position | Denise M Harris (PRACTICE MANAGER) |
| Authorized Official Contact | 9018617098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2130 W Poplar Ave Suite 106 Collierville TN 38017-0615 Ph: (901) 861-7007 | 2130 W Poplar Ave Suite 106 Collierville TN 38017-0615 Ph: (901) 861-7007 |
| NPI Number | 1346381977 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346381977 | NPI | - | NPPES |
| 1700905080 | Other | TN | GENERAL DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (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 | |
Children's Dental Center Of West Tennessee Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 W Poplar Ave, Ste 110, Collierville, TN 38017 Phone: 901-861-9668 Fax: 901-861-9582 | |