# SHOEMAKER DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** James G Sousoulas DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992392708
- **Authorized official:** MELANIE CECILE CHURINETZ DDS (PRESIDENT)
- **Authorized official phone:** (901) 692-5826

## Contact information

- **Practice address:** 6244 POPLAR AVE STE 100, MEMPHIS, TN 38119-4729
- **Practice address phone:** (901) 682-5826
- **Practice address fax:** (901) 761-5674
- **Mailing address:** 6244 POPLAR AVE STE 100, MEMPHIS, TN 38119-4729
- **Mailing address phone:** (901) 682-5826
- **Mailing address fax:** (901) 761-5674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/28/2020
- **Last updated:** 12/28/2020