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Organization

HIGGINBOTHAM DENTAL GROUP, PLLC

Active
Parent organization
HIGGINBOTHAM DENTAL GROUP, PLLC
Other names
Memphis Dental Sedation Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
HIGGINBOTHAM DENTAL GROUP, PLLC
Authorized official
MISTI ROSS (INSURANCE DIRECTOR)
(870) 336-3732
Entity
Organization

Contact information

Practice address
6634 SUMMER KNOLL CIRCLE, SUITE 105, BARTLETT, TN 38134
(901) 245-0471
Mailing address
1804 OLD GREENSBORO RD BLDG B, JONESBORO, AR 72405-0003
(870) 336-3732

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
01/29/2025
Last updated
01/29/2025
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