Organization
PURFIXSMILE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP CARTER DDS (CEO)
(901) 414-0350
Entity
Organization
Contact information
Practice address
9245 POPLAR AVE, SUITE 8-161, GERMANTOWN, TN 38138-7931
(901) 414-0350
Mailing address
9245 POPLAR AVE, SUITE 8-161, GERMANTOWN, TN 38138-7931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8726
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5442018
—
TN
Enumeration date
03/19/2008
Last updated
09/03/2010
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