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American Family Dentistry of Memphis, PC

Organization Active NPI General Practice Dentistry · Bartlett, TN

NPI 1508527342 · NPPES record last updated Jan 4, 2022

Key facts

NPI
1508527342
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
AMERICAN FAMILY DENTISTRY OF MEMPHIS, PC
Practice address
5150 Stage Rd Ste 100
Bartlett, TN 38134-3169
Phone
(901) 386-2328
Fax
(901) 382-1538
NPI assigned
Jan 4, 2022
Organization subpart
Yes
Parent organization (as reported)
AMERICAN FAMILY DENTISTRY OF MEMPHIS, PC

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Cordova Family Dentistry (23 organizations share this tax ID)
Part of
Cordova Family Dentistry

Locations

5150 Stage Rd
Ste 100
Memphis, TN 38134
Phone (901) 385-9898

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

5150 Stage Rd Ste 100
Bartlett, TN 38134-3169

Mailing address

5150 Stage Rd Ste 100
Bartlett, TN 38134-3169
Phone (901) 386-2328

Other names

  • American Family Dentistry - Raleigh Doing business as

Other providers in Bartlett, TN

All providers in Bartlett, TN · General Practice Dentistry in Tennessee

Sources for this page

Verify at the official NPI Registry.