Individual provider · Type 1 NPI

Bennett Blaine Fry, DDS

Student in an Organized Health Care Education/Training Program · Memphis, TN

NPI number 1528958493 Active

Practice location

875 Union Ave
Memphis, TN 38103-3513

Call (901) 448-6242 Map

Mailing address

2344 Autumn Green Dr Apt 101
Memphis, TN 38112-1051

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1528958493

Bennett Blaine Fry, DDS's National Provider Identifier is 1528958493, issued on Jul 3, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Jul 3, 2025.