Elizabeth G Mitchell, DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9000 Issued in TN

Legal business name

ELIZABETH G MITCHELL, DDS, LLC

Practice address

6750 Poplar Ave
Suite 209
Memphis, TN 38138-7438

Phone

(901) 756-1151

Fax

(901) 756-1575

NPI assigned

Sep 29, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elizabeth G Mitchell, DDSNPI 1770711384

Title

Dentist/Owner

Phone

(901) 409-1617

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Elizabeth Graham Mitchell, D.D.S.

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1770711384
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1992175376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 POPLAR AVE",
            "address_2": "SUITE 209",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381387438",
            "telephone_number": "901-756-1151",
            "fax_number": "901-756-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 POPLAR AVE",
            "address_2": "SUITE 209",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381387438",
            "telephone_number": "901-756-1151",
            "fax_number": "901-756-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH G MITCHELL, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "901-409-1617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.