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1122 Poplar View Ln N Collierville TN 38017-9323 | |
| (901) 853-2575 | |
| (901) 853-2576 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1122 Poplar View Ln N, Collierville, Tennessee |
| Authorized Official Name and Position | Kathryn A Sneed (OWNER) |
| Authorized Official Contact | 9018532575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
780 Ridge Lake Blvd Ste 201b Memphis TN 38120-9426 Ph: (901) 683-7315 | 1122 Poplar View Ln N Collierville TN 38017-9323 Ph: (901) 853-2575 |
| NPI Number | 1982032751 |
|---|---|
| Provider Enumeration Date | 10/14/2013 |
| Last Update Date | 10/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982032751 | NPI | - | NPPES |
| 9610 | Other | TN | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9610 (Tennessee) | Primary |
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