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Organization
DENTALWORKS, DR. DIETZ & ASSOCIATES (PARK AVENUE), P.C.
Active
Organization
DENTALWORKS, DR. DIETZ & ASSOCIATES (PARK AVENUE), P.C.
Active
Parent organization
DENTALONE PARTNERS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTALONE PARTNERS, INC
Authorized official
DR. JAMES G DIETZ JR. DMD (DENTIST/OWNER)
(901) 763-0850
Entity
Organization
Contact information
Practice address
5180 PARK AVE, SUITE 210, MEMPHIS, TN 38119-3530
(901) 763-0850
(216) 584-1207
Mailing address
PO BOX 860036, MINNEAPOLIS, MN 55486-0036
(901) 763-0850
(216) 584-1207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
NULL
1223P0700X
Prosthodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
01/25/2006
Last updated
05/06/2015
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