Individual
DR. JUDITH WILLETT MCGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
875 UNION AVE, MEMPHIS, TN 38103-3513
(901) 448-6204
(901) 448-1371
Mailing address
1966 TUTWILER AVE, MEMPHIS, TN 38107-5126
(901) 692-7586
(901) 278-4645
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9036
TN
1223G0001X
General Practice Dentistry
008712
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308316
UTHSC EMPLOYEE NUMBER
TN
01
—
8712
DENTAL LICENSE
GA
01
—
9033
DENTAL LICENSE
TN
Enumeration date
07/27/2006
Last updated
08/18/2015
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