Individual
DR. ELLEN PHYLLIS CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5180 PARK AVE, STE #260, MEMPHIS, TN 38119
(901) 683-5827
(901) 766-1640
Mailing address
5180 PARK AVE, STE #260, MEMPHIS, TN 38119
(901) 683-5827
(901) 766-1640
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS4082
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3224928
—
TN
05
—
Q000894
—
TN
Enumeration date
09/12/2006
Last updated
08/16/2013
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