Individual
THOMAS KEITH PLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS.
Contact information
Practice address
2028 W. POPLAR, COLLIERVILLE, TN 38017-0618
(901) 854-1151
(901) 854-1146
Mailing address
2028 W. POPLAR, COLLIERVILLE, TN 38017-0618
(901) 854-1151
(901) 854-1146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3756
TN
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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