| Imperial Dental | |
|
5126 Summer Ave 101 Memphis TN 38122-4400 | |
| (901) 818-1990 | |
| (901) 818-1991 |
| Full Name | Imperial Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5126 Summer Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Sparkle Eulls (OFFICE MANAGER) |
| Authorized Official Contact | 9018181990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Dental 5126 Summer Ave 101 Memphis TN 38122-4400 Ph: (901) 818-1990 | Imperial Dental 5126 Summer Ave 101 Memphis TN 38122-4400 Ph: (901) 818-1990 |
| NPI Number | 1588045454 |
|---|---|
| Provider Enumeration Date | 06/16/2015 |
| Last Update Date | 06/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588045454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8099 (Tennessee) | Primary |
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