| Prestige Dental Dds Pc | |
|
3267 Hacks Cross Road Memphis TN 38125-2367 | |
| (901) 619-0347 | |
| Not Available |
| Full Name | Prestige Dental Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 3267 Hacks Cross Road, Memphis, Tennessee |
| Authorized Official Name and Position | Kurt Holmes (OWNER/DENTIST) |
| Authorized Official Contact | 9016190347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Dental Dds Pc 3750 Hacks Cross Rd Suite 102-206 Memphis TN 38125-2367 Ph: () - | Prestige Dental Dds Pc 3267 Hacks Cross Road Memphis TN 38125-2367 Ph: (901) 619-0347 |
| NPI Number | 1831564962 |
|---|---|
| Provider Enumeration Date | 12/01/2015 |
| Last Update Date | 03/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831564962 | NPI | - | NPPES |
| 1275602716 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7908 (Tennessee) | Primary |
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