Individual
DR. VINCENT HEARD COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4250 FARONIA RD, MEMPHIS, TN 38116-6527
(901) 332-9170
(901) 332-0806
Mailing address
9436 MAYFIELD RD S, COLLIERVILLE, TN 38017-3314
(901) 754-6985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2475-89
MS
1223G0001X
General Practice Dentistry
Primary
4854
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060418
—
MS
05
—
3225807
—
TN
Enumeration date
10/26/2005
Last updated
09/14/2011
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