FRED WESBERRY DENTISTRY PLLC NPI 1770849143

NPI Information

  • NPI: 1770849143
  • Provider Name: FRED WESBERRY DENTISTRY, PLLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 716 W BROOKHAVEN CIR
    MEMPHIS, TN
    ZIP 38117
  • Phone: (901) 844-1590

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NPI Details

FRED WESBERRY DENTISTRY, PLLC is an ambulatory surgical clinic center in Memphis, TN. FRED WESBERRY DENTISTRY, PLLC NPI is 1770849143. The provider is registered as an organization entity type.

The provider's business location address is:

716 W BROOKHAVEN CIR
MEMPHIS, TN
ZIP 38117-504
Phone: (901) 844-1590
Fax: (901) 844-1592

The provider's authorized official is David M Kimler .
The authorized official title is Owner and has the following contact phone number (901) 362-9995.

The enumeration date for this NPI number is 4/10/2012 and was last updated on 4/10/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical000000051TENNESSEEYes

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: 11/21/2025

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