Individual
DR. BENNETT BLAINE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
875 UNION AVE, MEMPHIS, TN 38103-3513
(901) 448-6242
Mailing address
2344 AUTUMN GREEN DR APT 101, MEMPHIS, TN 38112-1051
(731) 487-8979
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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