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IMPLANT DENTISTRY OF THE MID SOUTH NPI 1003822842


NPI Information

NPI: 1003822842
Provider Name: IMPLANT DENTISTRY OF THE MID SOUTH
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1000 BROOKFIELD RD
SUITE 104
MEMPHIS, TN
ZIP 38119
Phone: (901) 767-3259
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IMPLANT DENTISTRY OF THE MID SOUTH 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. IMPLANT DENTISTRY OF THE MID SOUTH NPI is 1003822842. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 BROOKFIELD RD
SUITE 104
MEMPHIS, TN
ZIP 38119-802
Phone: (901) 767-3259
Fax: (901) 683-4756

The provider's authorized official is John William Payonk .
The authorized official title is Owner and has the following contact phone number (901) 767-3259.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 8/22/2020.


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 PracticeDS3315TENNESSEEYes

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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