Organization
PURFIXSMILE DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP CARTER DDS (CEO/DENTIST)
(901) 414-0350
Entity
Organization
Contact information
Practice address
4250 FARONIA RD, MEMPHIS, TN 38116-6527
(901) 414-0350
Mailing address
4250 FARONIA RD, MEMPHIS, TN 38116-6527
(901) 414-0350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5442018
—
TN
Enumeration date
01/22/2010
Last updated
09/03/2010
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