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SOUTHERN DENTAL OF RALEIGH PLLC NPI 1770096703


NPI Information

NPI: 1770096703
Provider Name: SOUTHERN DENTAL OF RALEIGH PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4283 RALEIGH MILLINGTON RD
MEMPHIS, TN
ZIP 38128
Phone: (901) 372-1221
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SOUTHERN DENTAL OF RALEIGH PLLC 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. SOUTHERN DENTAL OF RALEIGH PLLC NPI is 1770096703. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4283 RALEIGH MILLINGTON RD
MEMPHIS, TN
ZIP 38128-207
Phone: (901) 372-1221

The provider's authorized official is William Reynolds Little .
The authorized official title is Owner and has the following contact phone number (870) 243-4406.

The enumeration date for this NPI number is 11/13/2017 and was last updated on 11/13/2017.


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 Practice3930ARKANSASYes

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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