Organization
AC DENTAL OF TENNESSEE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAGAN UPPAL DMD (DENTIST/OWNER)
(901) 818-1990
Entity
Organization
Contact information
Practice address
5126 SUMMER AVE, SUITE 101, MEMPHIS, TN 38122-4408
(901) 818-1990
(901) 818-1991
Mailing address
5126 SUMMER AVE, SUITE 101, MEMPHIS, TN 38122-4408
(901) 818-1990
(901) 818-1991
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8761
TN
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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