Individual
DR. VANCE WESLEY TUTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
766 S. WHITE STATION RD. STE 1, MEMPHIS, TN 38117
(901) 685-8090
(901) 684-1662
Mailing address
766 S. WHITE STATION RD. STE 1, MEMPHIS, TN 38117
(901) 685-8090
(901) 684-1662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3829
AR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS0000010673
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187779608
ARKIDS, MEDICAID
AR
Enumeration date
06/21/2011
Last updated
02/03/2020
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