Organization
BARTLETT PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDI STUHR CDA, RDA (OFFICE MANAGER)
(901) 382-1564
Entity
Organization
Contact information
Practice address
3071 KIRBY WHITTEN RD, BARTLETT, TN 38134-2822
(901) 382-1564
(901) 382-0657
Mailing address
3071 KIRBY WHITTEN RD, BARTLETT, TN 38134-2822
(901) 382-1564
(901) 382-0657
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS2722
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100184
BLUE CROSS BLUE SHIELD
TN
Enumeration date
03/19/2007
Last updated
12/13/2007
Update your record
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