Organization
HIGHLAND PARK DENTAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARAD S CHITALIA D.D.S. (PRESIDENT)
(901) 323-8444
Entity
Organization
Contact information
Practice address
845 S HIGHLAND ST, MEMPHIS, TN 38111-4254
(901) 323-8488
(901) 323-8489
Mailing address
845 S HIGHLAND ST, MEMPHIS, TN 38111-4254
(901) 323-8488
(901) 323-8489
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3559
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3224393
—
TN
Enumeration date
07/09/2005
Last updated
08/22/2020
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