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Individual

DR. WILLIAM STEVENSON BLEDSOE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
775 EAST BROOKHAVEN CIRCLE, MEMPHIS, TN 38117
(901) 682-3100
(901) 682-9848
Mailing address
775 EAST BROOKHAVEN CIRCLE, MEMPHIS, TN 38117
(901) 682-3100
(901) 682-9848

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
TNDS3105
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TNDS3105
STATE LICENCE NUMBER
TN
Enumeration date
05/08/2007
Last updated
07/08/2007
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