| Union Avenue Dental | |
|
1331 Union Ave Ste 1225 Memphis TN 38104-7551 | |
| (901) 276-7314 | |
| (901) 276-6028 |
| Full Name | Union Avenue Dental |
|---|---|
| Speciality | Dentist |
| Location | 1331 Union Ave Ste 1225, Memphis, Tennessee |
| Authorized Official Name and Position | Joe D O'neal (PRESIDENT) |
| Authorized Official Contact | 9012767314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Union Avenue Dental 1331 Union Ave Ste 1225 Memphis TN 38104-7551 Ph: (901) 276-7314 | Union Avenue Dental 1331 Union Ave Ste 1225 Memphis TN 38104-7551 Ph: (901) 276-7314 |
| NPI Number | 1700229713 |
|---|---|
| Provider Enumeration Date | 04/09/2013 |
| Last Update Date | 04/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700229713 | NPI | - | NPPES |
| 3225297 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3438 (Tennessee) | Primary |
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