| Pediatric Dental Specialties | |
|
5040 Sanderlin Ave Ste 101 Memphis TN 38117-4374 | |
| (901) 761-5155 | |
| (901) 761-5130 |
| Full Name | Pediatric Dental Specialties |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5040 Sanderlin Ave Ste 101, Memphis, Tennessee |
| Authorized Official Name and Position | Bradley W Wilkinson (DENTIST) |
| Authorized Official Contact | 9017615155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Specialties 5040 Sanderlin Ave Ste 101 Memphis TN 38117-4374 Ph: (901) 761-5155 | Pediatric Dental Specialties 5040 Sanderlin Ave Ste 101 Memphis TN 38117-4374 Ph: (901) 761-5155 |
| NPI Number | 1740510775 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 01/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740510775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS005140 (Tennessee) | Primary |
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