Organization · Type 2 NPI

American Family Dentistry of Memphis, PC

General Practice Dentistry · Southaven, MS

NPI number 1285395020 Active

Practice location

35 Goodman Rd W Ste F
Southaven, MS 38671-9485

Fax (662) 253-3021

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: 1285395020
Entity type: Organization (Type 2)
Issued: Jan 4, 2022
Last updated: Jan 4, 2022
Status: Active
Subpart: Yes of American Family Dentistry of Memphis, PC

Other names

American Family Dentistry Southaven · doing business as

Authorized official

Celia Hayes
Credentialing Coordinator
(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 1285395020

American Family Dentistry of Memphis, PC's National Provider Identifier is 1285395020, issued on Jan 4, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Southaven, MS. The record was last updated on Jan 4, 2022.