Individual
DR. ROBERT C. STETZEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, BA, MS, DDS
Contact information
Practice address
2900 KIRBY PARKWAY, STE 9, MEMPHIS, TN 38119-8207
(901) 755-7392
(901) 755-6442
Mailing address
7205 GRAPETREE TRL, CORDOVA, TN 38018-7946
(901) 266-0108
(901) 266-0108
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS4676
TN
1223G0001X
General Practice Dentistry
2750
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5441837
—
TN
Enumeration date
12/14/2006
Last updated
07/19/2017
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