Organization
SUPERIOR SMILES OF MEMPHIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK DISHUN PAYNE DDS (PARTNER OWNER)
(901) 737-8714
Entity
Organization
Contact information
Practice address
4205 HACKS CROSS RD, SUITE 118, MEMPHIS, TN 38125-3198
(901) 737-8714
Mailing address
4205 HACKS CROSS RD, SUITE 118, MEMPHIS, TN 38125-3198
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS7858
TN
Other
Enumeration date
04/09/2007
Last updated
07/24/2015
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