| Highland Park Dental Center, Pc | |
|
845 S Highland St Memphis TN 38111-4254 | |
| (901) 323-8488 | |
| (901) 323-8489 |
| Full Name | Highland Park Dental Center, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 845 S Highland St, Memphis, Tennessee |
| Authorized Official Name and Position | Sharad S Chitalia (PRESIDENT) |
| Authorized Official Contact | 9013238444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Park Dental Center, Pc 845 S Highland St Memphis TN 38111-4254 Ph: (901) 323-8488 | Highland Park Dental Center, Pc 845 S Highland St Memphis TN 38111-4254 Ph: (901) 323-8488 |
| NPI Number | 1215935614 |
|---|---|
| Provider Enumeration Date | 07/09/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215935614 | NPI | - | NPPES |
| 3224393 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS3559 (Tennessee) | Primary |
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