# ASHRAF A HUSEIN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** premier dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104122241
- **Authorized official:** ASHRAF A HUSEIN DDS (OWNER)
- **Authorized official phone:** (901) 507-1793

## Contact information

- **Practice address:** 2965 NORTH GERMANTOWN ROAD, SUITE 129, BARTLETT, TN 38133-4002
- **Practice address phone:** (901) 507-1793
- **Practice address fax:** (901) 507-1794
- **Mailing address:** 2965 NORTH GERMANTOWN ROAD, SUITE \#129, BARTLETT, TN 38133-4002
- **Mailing address phone:** (901) 507-1793
- **Mailing address fax:** (901) 507-1794

## Taxonomy

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

## Other

- **Enumeration date:** 02/08/2011
- **Last updated:** 11/02/2011