Organization · Type 2 NPI
Monument Dental Anesthesia PLLC
Dental Anesthesiology · Memphis, TN
Practice location
120 S Grove Park Rd
Memphis, TN 38117-3104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Anesthesiology Primary | 1223D0004X | 9030 (TN) |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Another provider at this address
About NPI 1356891675
Monument Dental Anesthesia PLLC's National Provider Identifier is 1356891675, issued on Oct 11, 2016. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Memphis, TN. The record was last updated on Feb 1, 2017.