Southern Dental Of Raleigh Pllc | |
4283 Raleigh Millington Rd Memphis TN 38128-2207 | |
(901) 372-1221 | |
Not Available |
Full Name | Southern Dental Of Raleigh Pllc |
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Speciality | Dentist - General Practice |
Location | 4283 Raleigh Millington Rd, Memphis, Tennessee |
Authorized Official Name and Position | William Reynolds Little (OWNER) |
Authorized Official Contact | 8702434406 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southern Dental Of Raleigh Pllc Po Box 17151 Jonesboro AR 72403-6720 Ph: (870) 243-4406 | Southern Dental Of Raleigh Pllc 4283 Raleigh Millington Rd Memphis TN 38128-2207 Ph: (901) 372-1221 |
NPI Number | 1770096703 |
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Provider Enumeration Date | 11/13/2017 |
Last Update Date | 11/13/2017 |
Identifier | Type | State | Issuer |
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1770096703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 3930 (Arkansas) | Primary |
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