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1918 Exeter Rd Suite 1 Germantown TN 38138-2970 | |
| (901) 755-2100 | |
| (901) 755-2490 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1918 Exeter Rd, Germantown, Tennessee |
| Authorized Official Name and Position | Amy Kroeger (INS COORD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1918 Exeter Rd Suite 1 Germantown TN 38138-2970 Ph: (901) 755-2100 | 1918 Exeter Rd Suite 1 Germantown TN 38138-2970 Ph: (901) 755-2100 |
| NPI Number | 1528210382 |
|---|---|
| Provider Enumeration Date | 10/10/2008 |
| Last Update Date | 09/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528210382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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