Organization
AMERICAN FAMILY DENTISTRY
Active
Parent organization
AMERICAN DENTAL PARTNERS, INC
Other names
Collierville Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICAN DENTAL PARTNERS, INC
Authorized official
MS. DENISE M HARRIS (PRACTICE MANAGER)
(901) 861-7098
Entity
Organization
Contact information
Practice address
2130 W POPLAR AVE, SUITE 106, COLLIERVILLE, TN 38017-0615
(901) 861-7007
(901) 861-7066
Mailing address
2130 W POPLAR AVE, SUITE 106, COLLIERVILLE, TN 38017-0615
(901) 861-7007
(901) 861-7066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700905080
GENERAL DENTIST
TN
Enumeration date
02/08/2007
Last updated
07/21/2022
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