| University Of Tennessee | |
|
875 Union Ave Rm S219 Memphis TN 38163-0001 | |
| (901) 448-4944 | |
| (901) 448-7104 |
| Full Name | University Of Tennessee |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 875 Union Ave Rm S219, Memphis, Tennessee |
| Authorized Official Name and Position | Bernell A Rogers (ACCOUNTING ASSISTANT LLL) |
| Authorized Official Contact | 9014484944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Tennessee 875 Union Ave Rm S219 Memphis TN 38163-0001 Ph: (901) 448-4944 | University Of Tennessee 875 Union Ave Rm S219 Memphis TN 38163-0001 Ph: (901) 448-4944 |
| NPI Number | 1821164724 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821164724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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