# MEMPHIS DENTAL STUDIO PLLC

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

## Provider details

- **NPI number:** 1306706619
- **Authorized official:** HANEEN MATALGAH (PRESIDENT)
- **Authorized official phone:** (662) 304-7605

## Contact information

- **Practice address:** 9755 US HIGHWAY 64 STE 104, ARLINGTON, TN 38002-8395
- **Practice address phone:** (901) 902-5335
- **Mailing address:** 1520 FAIRFIELD DR, LEBANON, MO 65536-4320

## Taxonomy

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

## Other

- **Enumeration date:** 11/18/2025
- **Last updated:** 12/03/2025