# BRAXTON FAMILY DENTISTRY LLC

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

## Provider details

- **NPI number:** 1386815462
- **Authorized official:** DR. SONIA DENISE BRAXTON DDS (DENTIST)
- **Authorized official phone:** (901) 775-0870

## Contact information

- **Practice address:** 1154 S BELLEVUE BLVD, MEMPHIS, TN 38106-3428
- **Practice address phone:** (901) 775-0870
- **Practice address fax:** (901) 775-0873
- **Mailing address:** 1154 S BELLEVUE BLVD, MEMPHIS, TN 38106-3428
- **Mailing address phone:** (901) 775-0870
- **Mailing address fax:** (901) 775-0873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7160 | TN | Yes |

## Other

- **Enumeration date:** 03/17/2008
- **Last updated:** 03/17/2008