| Digmon Family Dentistry | |
|
2845 N Houston Levee Rd Suite 101 Cordova TN 38016-0179 | |
| (901) 266-0555 | |
| (901) 266-3921 |
| Full Name | Digmon Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2845 N Houston Levee Rd, Cordova, Tennessee |
| Authorized Official Name and Position | Lucy H Digmon (OWNER) |
| Authorized Official Contact | 9012660555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Digmon Family Dentistry 2845 N Houston Levee Rd Suite 101 Cordova TN 38016-0179 Ph: (901) 266-0555 | Digmon Family Dentistry 2845 N Houston Levee Rd Suite 101 Cordova TN 38016-0179 Ph: (901) 266-0555 |
| NPI Number | 1144517590 |
|---|---|
| Provider Enumeration Date | 07/06/2011 |
| Last Update Date | 07/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144517590 | NPI | - | NPPES |
| 1517695 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8861 (Tennessee) | Primary |
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