Organization
MEMPHIS DENTURES AND IMPLANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN JORDAN DAVIS DMD (SOLE MEMBER)
(901) 308-5952
Entity
Organization
Contact information
Practice address
8950 US-64, SUITE 108, LAKELAND, TN 38002-4566
(901) 308-5952
Mailing address
8950 US-64, SUITE 108, LAKELAND, TN 38002-4566
(901) 308-5952
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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