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Organization
SMILE MAKERS OF MEMPHIS PC
Active
Organization
SMILE MAKERS OF MEMPHIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA ARLEEN PRICE B.S. (OPERATIONS MANAGER)
(901) 755-7392
Entity
Organization
Contact information
Practice address
2900 KIRBY PARKWAY, SUITE #9, MEMPHIS, TN 38119-8221
(901) 755-7392
(901) 755-6442
Mailing address
2900 KIRBY RD, SUITE #9, MEMPHIS, TN 38119-8221
(901) 755-7392
(901) 755-6442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3224796
—
TN
Enumeration date
04/17/2007
Last updated
01/04/2012
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