Individual provider · Type 1 NPI

Brent Wills Church, DDS

Pediatric Dentistry · Memphis, TN

NPI number 1669729588 Active

Practice location

1684 Poplar Ave
Memphis, TN 38104-2583

Call (901) 254-1990 Map

Mailing address

4270 Chickasaw Rd
Memphis, TN 38117-1615

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X3659-12 (MS)
Dentist 122300000X61218 (KS)
Pediatric Dentistry 1223P0221X61218 (KS)
Pediatric Dentistry Primary 1223P0221X11892 (TN)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2 other providers at this address

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About NPI 1669729588

Brent Wills Church, DDS's National Provider Identifier is 1669729588, issued on Aug 9, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Memphis, TN. The record was last updated on Sep 28, 2023.