Organization
CHICKASAW DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORPHEUS TRIPLETT DDS (PRESIDENT)
(901) 324-0093
Entity
Organization
Contact information
Practice address
2877 POPLAR AVE, MEMPHIS, TN 38111-2023
(901) 324-0093
(901) 324-4029
Mailing address
2877 POPLAR AVE, MEMPHIS, TN 38111-2023
(901) 324-0093
(901) 324-4029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4439
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3225499
—
TN
Enumeration date
03/01/2007
Last updated
08/22/2020
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