# DENTAL EXCELLENCE MEMPHIS PLLC

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

## Provider details

- **NPI number:** 1639043987
- **Authorized official:** AMANDA LIGHTFOOT (DIRECTOR, PAYER RELATIONS)
- **Authorized official phone:** (214) 702-0708

## Contact information

- **Practice address:** 5180 PARK AVE STE 310, MEMPHIS, TN 38119-3531
- **Practice address phone:** (901) 685-1152
- **Mailing address:** 15660 DALLAS PKWY STE 950, DALLAS, TX 75248-3309
- **Mailing address phone:** (214) 702-0708

## Taxonomy

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

## Other

- **Enumeration date:** 09/30/2025
- **Last updated:** 01/27/2026