|
| |
|
1100 Poplar View Ln N Collierville TN 38017-9323 | |
| (901) 854-4422 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1100 Poplar View Ln N, Collierville, Tennessee |
| Authorized Official Name and Position | Darren R Williams (OWNER) |
| Authorized Official Contact | 9018544422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1100 Poplar View Ln N Collierville TN 38017-9323 Ph: (901) 854-4422 | 1100 Poplar View Ln N Collierville TN 38017-9323 Ph: (901) 854-4422 |
| NPI Number | 1720469075 |
|---|---|
| Provider Enumeration Date | 06/12/2015 |
| Last Update Date | 06/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720469075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS5359 (Tennessee) | Primary |
Halle Park Family Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 Halle Park Cir, Collierville, TN 38017 Phone: 901-457-7753 | |
Aesthetic Dentistry Of Collierville Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 362 New Byhalia Rd, Suite #3, Collierville, TN 38017 Phone: 901-853-8116 Fax: 901-853-0134 | |
Children's Dental Center Of West Tennessee Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 W Poplar Ave, Ste 110, Collierville, TN 38017 Phone: 901-861-9668 Fax: 901-861-9582 | |