Aesthetic Dentistry of Collierville Pllc

NPI #1114214426 in Collierville, Tennessee

Provider Information

NPI Number: 1114214426
Entity Type: Organization
Organization Name: Aesthetic Dentistry of Collierville Pllc
Primary Specialty: Dentist
Enumeration Date: Jul 7, 2011
Last Updated: Oct 31, 2011

Practice Location

Address: 362 NEW BYHALIA RD
Address 2: SUITE #3
City: Collierville
State: Tennessee
ZIP Code: 38017-3731
Phone: (901) 853-8116

Authorized Official

Name: DR. ALAN O BLANTON, DDS
Title: OWNER
Phone: (901) 853-8116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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