Organization
SMILE MAKERS OF MEMPHIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA ARLEEN PRICE B.S. (OPERATIONS MANAGER)
(901) 332-8729
Entity
Organization
Contact information
Practice address
1440 E SHELBY DR, SUITE #5, MEMPHIS, TN 38116-7255
(901) 332-8729
Mailing address
1440 E SHELBY DR, SUITE #5, MEMPHIS, TN 38116-7255
(901) 332-8729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3224796
—
TN
Enumeration date
05/02/2007
Last updated
12/23/2011
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