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Individual

DR. MARENA LOCKE COUNCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
9035 E SANDIDGE RD STE 100, OLIVE BRANCH, MS 38654-3563
(662) 731-0866
Mailing address
500 S GREER ST, MEMPHIS, TN 38111-3212
(901) 258-2793

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
112253
MS
1223G0001X
General Practice Dentistry
12527
TN

Other

Enumeration date
07/01/2024
Last updated
02/03/2026
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