Organization
UNIVERSITY OF TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNELL A ROGERS (ACCOUNTING ASSISTANT LLL)
(901) 448-4944
Entity
Organization
Contact information
Practice address
875 UNION AVE RM S219, MEMPHIS, TN 38163-0001
(901) 448-4944
(901) 448-7104
Mailing address
875 UNION AVE RM S219, MEMPHIS, TN 38163-0001
(901) 448-4944
(901) 448-7104
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/24/2006
Last updated
08/22/2020
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