Organization
MCCANN PEDIATRIC DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILLY WESTMORELAND MCCANN JR. D.D.S. (OWNER)
(901) 767-9200
Entity
Organization
Contact information
Practice address
5885 RIDGEWAY CENTER PKWY, SUITE 230, MEMPHIS, TN 38120-4055
(901) 767-9200
Mailing address
5885 RIDGEWAY CENTER PKWY, SUITE 230, MEMPHIS, TN 38120-4055
(901) 767-9200
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS5401
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016039
—
TN
Enumeration date
07/11/2008
Last updated
07/11/2008
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