Organization
GLOBAL DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELOIS ROBERSON DDS (DR/MANAGER)
(901) 527-5359
Entity
Organization
Contact information
Practice address
3719 RIVERDALE RD, MEMPHIS, TN 38115-5322
(901) 527-5359
(901) 527-9909
Mailing address
3719 RIVERDALE RD, MEMPHIS, TN 38115-5322
(901) 527-5359
(901) 527-9909
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS5258
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1436826
BLUE CROSS BLUE SHIELD
TN
05
—
1530170
—
TN
01
—
791304
UNITED CONCORDIA
—
Enumeration date
08/29/2006
Last updated
03/01/2013
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