# VAN ZYL CENTER FOR ADVANCED DENTISTRY

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

## Provider details

- **NPI number:** 1659793495
- **Authorized official:** DR. ETTIENNE R. VAN ZYL D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (901) 457-7753

## Contact information

- **Practice address:** 1108 HALLE PARK CIR, COLLIERVILLE, TN 38017-7084
- **Practice address phone:** (901) 457-7753
- **Practice address fax:** (901) 457-7732
- **Mailing address:** 1108 HALLE PARK CIR, COLLIERVILLE, TN 38017-7084
- **Mailing address phone:** (901) 457-7753
- **Mailing address fax:** (901) 457-7732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D.S.7305 | TN | Yes |

## Other

- **Enumeration date:** 01/14/2014
- **Last updated:** 01/14/2014