SHELBY DENTAL NPI 1063989754

NPI Information

SHELBY DENTAL is a general practice dentist in Memphis, TN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SHELBY DENTAL NPI is 1063989754. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

990 JUNE RD
MEMPHIS, TN
ZIP 38119-702
Phone: (901) 767-2290
Fax: (901) 683-4524

The provider's authorized official is Shelby Dene Blaylock .
The authorized official title is Dentist/owner and has the following contact phone number (901) 767-2290.

The enumeration date for this NPI number is 10/31/2018 and was last updated on 10/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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