# LACANAS HERRING MACK DDS PC

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

## Provider details

- **NPI number:** 1780850735
- **Authorized official:** DR. LACANAS HERRING MACK DDS (GENERAL DENTIST)
- **Authorized official phone:** (901) 452-3211

## Contact information

- **Practice address:** 183 TILLMAN ST, MEMPHIS, TN 38111-2721
- **Practice address phone:** (901) 452-3211
- **Mailing address:** 183 TILLMAN ST, MEMPHIS, TN 38111-2721
- **Mailing address phone:** (901) 452-3211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7919 | TN | Yes |

## Other

- **Enumeration date:** 04/30/2008
- **Last updated:** 04/30/2008