Organization
PEDIATRIC DENTISTRY OF MEMPHIS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CALVIN HARRIS DDS (PRESIDENT)
(901) 598-8500
Entity
Organization
Contact information
Practice address
717 S WHITE STATION RD STE D, MEMPHIS, TN 38117-4538
(901) 598-8500
Mailing address
1594 OLD MILL RD, GERMANTOWN, TN 38138-2124
(901) 598-8500
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q029348
—
TN
Enumeration date
03/02/2020
Last updated
04/12/2021
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