Individual
MR. JOERALD D BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
493 N FRONT ST SUITE 101, MEMPHIS, TN 38105
(901) 527-2101
(901) 527-2103
Mailing address
493 N FRONT ST SUITE 101, MEMPHIS, TN 38105
(901) 527-2101
(901) 527-2103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS00005272
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521203
—
TN
Enumeration date
08/30/2006
Last updated
02/22/2016
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