Organization
DR. D'S FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DUNAVANT DDS (OWNER)
(901) 249-8932
Entity
Organization
Contact information
Practice address
6425 STAGE RD, STE 4, BARTLETT, TN 38134-3731
(901) 249-8932
Mailing address
6425 STAGE RD, STE 4, BARTLETT, TN 38134-3731
(901) 249-8932
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9305
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295022341
NPI TYPE 1
TN
Enumeration date
02/03/2014
Last updated
02/03/2014
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