# TENNESSEE DENTAL PROFESSIONALS PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TENNESSEE DENTAL PROFESSIONALS PC
- **Other names:** Quail Hollow Family Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497140008
- **Legal business name:** TENNESSEE DENTAL PROFESSIONALS PC
- **Authorized official:** KIM WILSON (CRED SUPERVISOR)
- **Authorized official phone:** (217) 540-5170

## Contact information

- **Practice address:** 6425 N QUAIL HOLLOW RD STE 102, MEMPHIS, TN 38120-1438
- **Practice address phone:** (217) 540-5170
- **Mailing address:** 6425 N QUAIL HOLLOW RD STE 102, MEMPHIS, TN 38120-1438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2015
- **Last updated:** 03/31/2015