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BRAXTON FAMILY DENTISTRY LLC NPI 1386815462


NPI Information

NPI: 1386815462
Provider Name: BRAXTON FAMILY DENTISTRY LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1154 S BELLEVUE BLVD
MEMPHIS, TN
ZIP 38106
Phone: (901) 775-0870
Get Directions

BRAXTON FAMILY DENTISTRY LLC 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. BRAXTON FAMILY DENTISTRY LLC NPI is 1386815462. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1154 S BELLEVUE BLVD
MEMPHIS, TN
ZIP 38106-428
Phone: (901) 775-0870
Fax: (901) 775-0873

The provider's authorized official is Sonia Denise Braxton .
The authorized official title is Dentist and has the following contact phone number (901) 775-0870.

The enumeration date for this NPI number is 3/17/2008 and was last updated on 3/17/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice7160TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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