| Purfixsmile Dental Inc | |
|
4250 Faronia Rd Memphis TN 38116-6527 | |
| (901) 414-0350 | |
| Not Available |
| Full Name | Purfixsmile Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4250 Faronia Rd, Memphis, Tennessee |
| Authorized Official Name and Position | Philip Carter (CEO/DENTIST) |
| Authorized Official Contact | 9014140350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purfixsmile Dental Inc 4250 Faronia Rd Memphis TN 38116-6527 Ph: (901) 414-0350 | Purfixsmile Dental Inc 4250 Faronia Rd Memphis TN 38116-6527 Ph: (901) 414-0350 |
| NPI Number | 1386975860 |
|---|---|
| Provider Enumeration Date | 01/22/2010 |
| Last Update Date | 09/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386975860 | NPI | - | NPPES |
| 5442018 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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