# MID-SOUTH TMJ AND SLEEP APNEA

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

## Provider details

- **NPI number:** 1487365433
- **Authorized official:** DR. ALAN O BLANTON DDS (OWNER)
- **Authorized official phone:** (901) 417-0888

## Contact information

- **Practice address:** 362 NEW BYHALIA RD STE 3, COLLIERVILLE, TN 38017-3731
- **Practice address phone:** (901) 468-7088
- **Practice address fax:** (901) 221-2280
- **Mailing address:** 1850 KIMBROUGH RD, GERMANTOWN, TN 38138-3282
- **Mailing address phone:** (901) 417-0888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223X2210X | Orofacial Pain Dentistry | — | NULL | Yes |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 12/12/2022
- **Last updated:** 10/18/2023