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Individual

DR. RUSSELL C PECK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
116 N PAULINE ST, MEMPHIS, TN 38104-1005
(901) 523-8990
Mailing address
5346 WILDBROOK CV, MEMPHIS, TN 38120-2759
(901) 734-0919

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS4250
TN

Other

Enumeration date
03/14/2006
Last updated
02/04/2026
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