Pediatric Dentistry Of Memphis Pllc

LBN: Pediatric Dentistry Of Memphis Pllc
Pediatric Dentistry Of Memphis Pllc is an health care organization with primary practice located at 717 S White Station Rd Ste D , Memphis TN 38117-4538. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Pediatric Dentistry Of Memphis Pllc can be contacted via phone (901) 598-8500, or through Harris, David Calvin via phone (901) 598-8500.

Contact Information

Primary practice address
717 S White Station Rd Ste D Memphis TN 38117-4538
Fax:
Website:
Authorized official contact:
Name: Harris, David Calvin Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1609400431
LBN Legal business name Pediatric Dentistry Of Memphis Pllc
DBA Doing business as
Authorized official Harris, David Calvin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2020
Last updated Apr 12th, 2021 - 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 1609400431 NPPES
Tennessee MEDICAID Q029348

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