# AMERICAN FAMILY DENTISTRY OF MEMPHIS, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMERICAN FAMILY DENTISTRY OF MEMPHIS, PC
- **Other names:** American Family Dentistry Cordova
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053072942
- **Legal business name:** AMERICAN FAMILY DENTISTRY OF MEMPHIS, PC
- **Authorized official:** CELIA HAYES (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-2100

## Contact information

- **Practice address:** 8095 MACON RD STE 109, CORDOVA, TN 38018-8500
- **Practice address phone:** (901) 754-4383
- **Mailing address:** 8095 MACON RD STE 109, CORDOVA, TN 38018-8500
- **Mailing address phone:** (901) 754-4383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2022
- **Last updated:** 01/04/2022