PARK STATION DENTAL GROUP NPI 1407094121

NPI Information

PARK STATION DENTAL GROUP 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. PARK STATION DENTAL GROUP NPI is 1407094121. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5180 PARK AVE
SUITE 310
MEMPHIS, TN
ZIP 38119-521
Phone: (901) 685-1152
Fax: (901) 682-6846

The provider's authorized official is Milton Siskin .
The authorized official title is Owner / Dentist and has the following contact phone number (901) 685-1152.

The enumeration date for this NPI number is 2/3/2009 and was last updated on 2/3/2009.

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:

Other Identifiers

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