# SUPERIOR SMILES OF MEMPHIS, LLC

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

## Provider details

- **NPI number:** 1992828370
- **Authorized official:** DR. DERRICK DISHUN PAYNE DDS (PARTNER OWNER)
- **Authorized official phone:** (901) 737-8714

## Contact information

- **Practice address:** 4205 HACKS CROSS RD, SUITE 118, MEMPHIS, TN 38125-3198
- **Practice address phone:** (901) 737-8714
- **Mailing address:** 4205 HACKS CROSS RD, SUITE 118, MEMPHIS, TN 38125-3198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS7858 | TN | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 07/24/2015