| Pediatric Dental Clinic At Lebonheur | |
|
848 Adams Ave. Suite 101 Memphis TN 38103-2816 | |
| (901) 448-5437 | |
| (901) 448-5438 |
| Full Name | Pediatric Dental Clinic At Lebonheur |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 848 Adams Ave., Memphis, Tennessee |
| Authorized Official Name and Position | Anthony A Ferrara (SR. VICE CHANCELLOR/ CHIEF FINANCIA) |
| Authorized Official Contact | 9014485523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Clinic At Lebonheur 875 Union Ave. Room E201 Memphis TN 38103 Ph: (901) 448-6224 | Pediatric Dental Clinic At Lebonheur 848 Adams Ave. Suite 101 Memphis TN 38103-2816 Ph: (901) 448-5437 |
| NPI Number | 1912556895 |
|---|---|
| Provider Enumeration Date | 09/04/2019 |
| Last Update Date | 02/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912556895 | NPI | - | NPPES |
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