| Purfixsmile Dental, Inc | |
|
9245 Poplar Ave 8-161 Germantown TN 38138-7931 | |
| (901) 414-0350 | |
| Not Available |
| Full Name | Purfixsmile Dental, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9245 Poplar Ave, Germantown, Tennessee |
| Authorized Official Name and Position | Philip Carter (CEO/DENTISIT) |
| Authorized Official Contact | 9014140350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purfixsmile Dental, Inc 9245 Poplar Ave 8-161 Germantown TN 38138-7931 Ph: () - | Purfixsmile Dental, Inc 9245 Poplar Ave 8-161 Germantown TN 38138-7931 Ph: (901) 414-0350 |
| NPI Number | 1154569663 |
|---|---|
| Provider Enumeration Date | 01/22/2009 |
| Last Update Date | 11/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154569663 | NPI | - | NPPES |
| 5442018 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8726 (Tennessee) | Primary |
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