EAST MEMPHIS DENTAL GROUP NPI 1497079032

NPI Information

EAST MEMPHIS 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. EAST MEMPHIS DENTAL GROUP NPI is 1497079032. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5336 ESTATE OFFICE DR
SUITE 1
MEMPHIS, TN
ZIP 38119-623
Phone: (901) 681-0408
Fax: (901) 681-9753

The provider's authorized official is Lance Ashlock .
The authorized official title is Dentist and has the following contact phone number (901) 681-0408.

The enumeration date for this NPI number is 3/25/2010 and was last updated on 3/25/2010.

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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