Organization
SHELDON M.GRAVES PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELDON M. GRAVES D.D.S. (OWNER)
(901) 433-0701
Entity
Organization
Contact information
Practice address
4137 KIRBY PKWY, SUITE 4, MEMPHIS, TN 38115-6532
(901) 433-0701
(901) 433-0703
Mailing address
4137 KIRBY PKWY, SUITE 4, MEMPHIS, TN 38115-6532
(901) 433-0701
(901) 433-0703
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS0000004417
TN
1223P0221X
Pediatric Dentistry
DS0000008876
TN
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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