# MEMPHIS DENTURES AND IMPLANTS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053961227
- **Authorized official:** AUSTIN JORDAN DAVIS DMD (SOLE MEMBER)
- **Authorized official phone:** (901) 308-5952

## Contact information

- **Practice address:** 8950 US-64, SUITE 108, LAKELAND, TN 38002-4566
- **Practice address phone:** (901) 308-5952
- **Mailing address:** 8950 US-64, SUITE 108, LAKELAND, TN 38002-4566
- **Mailing address phone:** (901) 308-5952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2019
- **Last updated:** 09/18/2019