Organization
CHILDREN'S DENTAL CENTER OF WEST TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS ROWLAND D.D.S. (DENTIST)
(901) 861-9668
Entity
Organization
Contact information
Practice address
2028 W POPLAR AVE, STE 110, COLLIERVILLE, TN 38017-0618
(901) 861-9668
(901) 861-9582
Mailing address
2028 W POPLAR AVE, STE 110, COLLIERVILLE, TN 38017-0618
(901) 861-9668
(901) 861-9582
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7778
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3206803
—
TN
01
—
4100868
BLUE CROSS/ BLUE SHIELD
TN
Enumeration date
07/03/2006
Last updated
03/31/2008
Update your record
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