| Superior Smiles Of Memphis, Llc | |
|
4205 Hacks Cross Rd Suite 118 Memphis TN 38125-3198 | |
| (901) 737-8714 | |
| Not Available |
| Full Name | Superior Smiles Of Memphis, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4205 Hacks Cross Rd, Memphis, Tennessee |
| Authorized Official Name and Position | Derrick Dishun Payne (PARTNER OWNER) |
| Authorized Official Contact | 9017378714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Smiles Of Memphis, Llc 4205 Hacks Cross Rd Suite 118 Memphis TN 38125-3198 Ph: () - | Superior Smiles Of Memphis, Llc 4205 Hacks Cross Rd Suite 118 Memphis TN 38125-3198 Ph: (901) 737-8714 |
| NPI Number | 1992828370 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 07/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992828370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS7858 (Tennessee) | Primary |
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