# DRS. SMITH & IVERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Drs. Smith & Ivers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487339198
- **Authorized official:** JENNI OTTEN (PRACTICE MANAGER)
- **Authorized official phone:** (901) 685-8090

## Contact information

- **Practice address:** 766 S WHITE STATION RD STE 1, MEMPHIS, TN 38117-4579
- **Practice address phone:** (901) 685-8090
- **Practice address fax:** (901) 684-1662
- **Mailing address:** 766 S WHITE STATION RD STE 1, MEMPHIS, TN 38117-4579
- **Mailing address phone:** (901) 685-8090
- **Mailing address fax:** (901) 684-1662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2023
- **Last updated:** 06/20/2023