Individual
DR. ORPHEUS L TRIPLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
875 UNION AVE, DEPARTMENT OF PEDIATRIC DENTISTRY, S202, MEMPHIS, TN 38103-3513
(901) 448-2064
(901) 448-3817
Mailing address
875 UNION AVE, DEPARTMENT OF PEDIATRIC DENTISTRY, S202, MEMPHIS, TN 38103-3513
(901) 448-2064
(901) 448-3817
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4439
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3225499
—
TN
Enumeration date
05/08/2006
Last updated
02/04/2020
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