Organization · Type 2 NPI

American Family Dentistry of Memphis, PC

General Practice Dentistry · Collierville, TN

NPI number 1124788229 Active

Practice location

2130 W Poplar Ave Ste 106
Collierville, TN 38017-0615

Fax (901) 861-7066

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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NPI record

NPI: 1124788229
Entity type: Organization (Type 2)
Issued: Dec 30, 2021
Last updated: Jan 5, 2022
Status: Active
Subpart: Yes of American Family Dentistry of Memphis, PC

Other names

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American Family Dentistry Collierville · doing business as
American Family Dentistry Collierville · doing business as

Authorized official

Celia Hayes
Credentialingcoordinator
(217) 540-2100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124788229

American Family Dentistry of Memphis, PC's National Provider Identifier is 1124788229, issued on Dec 30, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Collierville, TN. The record was last updated on Jan 5, 2022.