Organization
AMERICAN FAMILY DENTISTRY OF MEMPHIS, PC
Active
Parent organization
AMERICAN FAMILY DENTISTRY OF MEMPHIS, PC
Other names
American Family Dentistry Southaven
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICAN FAMILY DENTISTRY OF MEMPHIS, PC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
35 GOODMAN RD W STE F, SOUTHAVEN, MS 38671-9485
(662) 253-3013
(662) 253-3021
Mailing address
35 GOODMAN RD W STE F, SOUTHAVEN, MS 38671-9485
(662) 253-3013
(662) 253-3021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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