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Organization
DRS. SMITH & IVERS
Active
Organization
DRS. SMITH & IVERS
Active
Other names
Drs. Smith & Ivers
Organization subpart
No
Provider details
NPI number
Authorized official
JENNI OTTEN (PRACTICE MANAGER)
(901) 685-8090
Entity
Organization
Contact information
Practice address
766 S WHITE STATION RD STE 1, MEMPHIS, TN 38117-4579
(901) 685-8090
(901) 684-1662
Mailing address
766 S WHITE STATION RD STE 1, MEMPHIS, TN 38117-4579
(901) 685-8090
(901) 684-1662
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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