American Family Dentistry of Memphis, PC
NPI #1447911276 in Olive Branch, Mississippi
Provider Information
- NPI Number
- 1447911276
- Entity Type
- Organization
- Organization Name
- American Family Dentistry of Memphis, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- AMERICAN FAMILY DENTISTRY OF MEMPHIS, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 4, 2022
- Last Updated
- Jan 4, 2022
Practice Location
- Address
- 5218 GOODMAN RD STE 109
- City
- Olive Branch
- State
- Mississippi
- ZIP Code
- 38654-7985
- Phone
- (662) 892-3633
Authorized Official
- Name
- CELIA HAYES
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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