| Chelsea Dental Clinic , Cooper Dental Associates | |
|
2410 Chelsea Ave Memphis TN 38108-1515 | |
| (901) 458-1118 | |
| (901) 454-1983 |
| Full Name | Chelsea Dental Clinic , Cooper Dental Associates |
|---|---|
| Speciality | Clinic/center |
| Location | 2410 Chelsea Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Gloria Jean Pryor (DENTIST/OWNER) |
| Authorized Official Contact | 9014581118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chelsea Dental Clinic , Cooper Dental Associates 2410 Chelsea Ave Memphis TN 38108-1515 Ph: (901) 458-1118 | Chelsea Dental Clinic , Cooper Dental Associates 2410 Chelsea Ave Memphis TN 38108-1515 Ph: (901) 458-1118 |
| NPI Number | 1538331533 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 03/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538331533 | NPI | - | NPPES |
| 3223844 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DS3535 (Tennessee) | Primary |
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