Organization
SHELDON M. GRAVES & TODD SMITH PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELDON MAURICE GRAVES D.D.S. (OWNER)
(901) 433-0701
Entity
Organization
Contact information
Practice address
4137 KIRBY PKWY, SUITE 4, MEMPHIS, TN 38115-6532
(901) 433-0701
(901) 433-0703
Mailing address
4137 KIRBY PKWY, SUITE 4, MEMPHIS, TN 38115-6532
(901) 433-0701
(901) 433-0703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS004417
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3225601
—
TN
Enumeration date
02/02/2011
Last updated
02/02/2011
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