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PERIODONTAL ASSOCIATES OF MEMPHIS NPI 1023158185


NPI Information

NPI: 1023158185
Provider Name: PERIODONTAL ASSOCIATES OF MEMPHIS
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
6268 POPLAR AVE
MEMPHIS, TN
ZIP 38119
Phone: (901) 761-3770
Get Directions

PERIODONTAL ASSOCIATES OF MEMPHIS is a periodontics dentist in Memphis, TN. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PERIODONTAL ASSOCIATES OF MEMPHIS NPI is 1023158185. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6268 POPLAR AVE
MEMPHIS, TN
ZIP 38119-713
Phone: (901) 761-3770
Fax: (901) 761-3775

The provider's authorized official is Barbara F Patton .
The authorized official title is Office Manager and has the following contact phone number (901) 761-3770.

The enumeration date for this NPI number is 2/7/2007 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
11223P0300XDentistPeriodonticsDS7731TENNESSEEYes

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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