Individual
DR. MELODY JEAN PENDLETON GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1684 POPLAR AVE, MEMPHIS, TN 38104-2583
(901) 861-9668
Mailing address
1721 YORK AVE, MEMPHIS, TN 38104-5126
(901) 674-7132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9295
TN
122300000X
Dentist
Primary
RES90
ME
1223P0221X
Pediatric Dentistry
9295
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1524862
—
TN
Enumeration date
07/25/2011
Last updated
10/23/2023
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