Individual
DR. SEAN KEITH PRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4177 MACON RD., MEMPHIS, TN 38122-2495
(901) 454-6911
(901) 454-6939
Mailing address
4177 MACON RD., MEMPHIS, TN 38122-2495
(901) 454-6911
(901) 454-6939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6813
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6813
LICENSE NUMBER
TN
Enumeration date
12/29/2006
Last updated
07/09/2007
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