Monument Dental Anesthesia Pllc | |
120 S Grove Park Rd Memphis TN 38117-3104 | |
(901) 491-0971 | |
Not Available |
Full Name | Monument Dental Anesthesia Pllc |
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Speciality | Dentist - Dentist Anesthesiologist |
Location | 120 S Grove Park Rd, Memphis, Tennessee |
Authorized Official Name and Position | Russell D Morrell (OWNER) |
Authorized Official Contact | 9014910971 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Monument Dental Anesthesia Pllc 120 S Grove Park Rd Memphis TN 38117-3104 Ph: (901) 491-0971 | Monument Dental Anesthesia Pllc 120 S Grove Park Rd Memphis TN 38117-3104 Ph: (901) 491-0971 |
NPI Number | 1356891675 |
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Provider Enumeration Date | 10/11/2016 |
Last Update Date | 02/01/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356891675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0004X | Dentist - Dentist Anesthesiologist | 9030 (Tennessee) | Primary |
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