| Gentle Dental, Pllc | |
|
670 Colonial Rd Suite # 6 Memphis TN 38117-5160 | |
| (901) 537-0077 | |
| (901) 537-0088 |
| Full Name | Gentle Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 670 Colonial Rd, Memphis, Tennessee |
| Authorized Official Name and Position | Marrio Thomas (PROVIDER) |
| Authorized Official Contact | 9015370077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Dental, Pllc 670 Colonial Rd Suite # 6 Memphis TN 38117-5160 Ph: (901) 537-0077 | Gentle Dental, Pllc 670 Colonial Rd Suite # 6 Memphis TN 38117-5160 Ph: (901) 537-0077 |
| NPI Number | 1124237482 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124237482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0000007671 (Tennessee) | Primary |
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