New Image Family Dentistry M

LBN: New Image Family Dentistry M
New Image Family Dentistry M is an health care organization with primary practice located at 2713 Mount Moriah Rd Ste 101 , Memphis TN 38115-1620. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. New Image Family Dentistry M can be contacted via phone (901) 547-1594, or through Shackelford, Direndia via phone (800) 654-0889.

Contact Information

Primary practice address
2713 Mount Moriah Rd Ste 101 Memphis TN 38115-1620
Phone: (901) 547-1594
Fax: (901) 794-2165
Website:
Map and Directions
Authorized official contact:
Name: Shackelford, Direndia
Phone: (800) 654-0889

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X DS0000006961 Tennessee

Profile Details

NPI number 1538242862
LBN Legal business name New Image Family Dentistry M
DBA Doing business as New Image Family Dentistry M
Authorized official Shackelford, Direndia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538242862 NPPES
Other 4438708 OTHER ID NUMBER-COMMERCIAL NUMBER

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