Individual
DR. PATRICK R PERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7675 WOLF RIVER CIR, SUITE 201, GERMANTOWN, TN 38138-1750
(901) 681-0777
(901) 767-0777
Mailing address
7675 WOLF RIVER CIR, SUITE 201, GERMANTOWN, TN 38138-1750
(901) 681-0777
(901) 767-0777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000005126
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0138845
BLUE CROSS BLUE SHIELD
TN
01
—
791594
UNITED CONCORDIA
—
Enumeration date
05/15/2007
Last updated
07/08/2007
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