Individual
JEFFREY DAVID AMSTUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2953 BROAD AVE, MEMPHIS, TN 38112-2957
(901) 701-2720
(901) 271-6099
Mailing address
2595 CENTRAL AVE, MEMPHIS, TN 38104-5905
(901) 260-8500
(901) 260-8599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
18949
OH
122300000X
Dentist
Primary
9575
TN
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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