# AMERICAN FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMERICAN DENTAL PARTNERS, INC
- **Other names:** Collierville Family Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346381977
- **Legal business name:** AMERICAN DENTAL PARTNERS, INC
- **Authorized official:** MS. DENISE M HARRIS (PRACTICE MANAGER)
- **Authorized official phone:** (901) 861-7098

## Contact information

- **Practice address:** 2130 W POPLAR AVE, SUITE 106, COLLIERVILLE, TN 38017-0615
- **Practice address phone:** (901) 861-7007
- **Practice address fax:** (901) 861-7066
- **Mailing address:** 2130 W POPLAR AVE, SUITE 106, COLLIERVILLE, TN 38017-0615
- **Mailing address phone:** (901) 861-7007
- **Mailing address fax:** (901) 861-7066

## Taxonomy

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

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1700905080 | GENERAL DENTIST | TN |