# MID-SOUTH TMJ & SLEEP APNEA DENTAL TREATMENT CTR LLC

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

## Provider details

- **NPI number:** 1386454585
- **Authorized official:** DR. ELIZABETH GRAHAM MITCHELL (DENTIST, OWNER)
- **Authorized official phone:** (901) 468-7088

## Contact information

- **Practice address:** 795 RIDGE LAKE BLVD STE 106, MEMPHIS, TN 38120-9475
- **Practice address phone:** (901) 468-7088
- **Practice address fax:** (901) 221-2280
- **Mailing address:** 795 RIDGE LAKE BLVD STE 106, MEMPHIS, TN 38120-9475
- **Mailing address phone:** (901) 468-7088
- **Mailing address fax:** (901) 221-2280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 01/09/2025
- **Last updated:** 01/07/2026