Implant Dentistry of the Mid South

NPI #1003822842 in Memphis, Tennessee

Provider Information

NPI Number
1003822842
Entity Type
Organization
Organization Name
Implant Dentistry of the Mid South
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 1, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1000 BROOKFIELD RD
Address 2
SUITE 104
ZIP Code
38119-0802
Phone
(901) 767-3259

Authorized Official

Name
DR. JOHN WILLIAM PAYONK, D.D.S.
Title
OWNER
Phone
(901) 767-3259

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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