Gentle Dental, PLLC
Clinic/Center, Dental in Memphis, TN. Organization (NPI-2).
NPI number1124237482
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124237482
- Entity type
- Organization (NPI-2)
- Legal business name
- Gentle Dental, PLLC
- Organization subpart
- No
- Enumeration date
- May 22, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 0000007671 | TN | Yes |
Practice location
670 Colonial RdSuite # 6
Memphis, TN 38117-5160
Phone 901-537-0077 · Fax 901-537-0088
Mailing address
670 Colonial RdSuite # 6
Memphis, TN 38117-5160
Phone 901-537-0077 · Fax 901-537-0088
Authorized official
Marrio Thomas
Provider
9015370077
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