Organization · Type 2 NPI

Edp of Tennessee PC

Dental Clinic/Center · Germantown, TN

NPI number 1780143800 Active

Practice location

7938 Wolf River Blvd
Germantown, TN 38138-1725

Call (901) 754-3117 Map

Mailing address

141 W Jackson Blvd Ste 210
Chicago, IL 60604-3048

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

3 other providers at this address

Other dental clinic/center providers in Germantown

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NPI record

NPI: 1780143800
Entity type: Organization (Type 2)
Issued: Mar 18, 2019
Last updated: Sep 16, 2019
Status: Active
Subpart: Yes of Edp of Tennessee PC

Other names

<unavail>
Christopher Cooley DDS · doing business as
Christopher Cooley DDS · doing business as

Authorized official

Roseanne Brunenkant
Director of Integrations
(312) 937-3619

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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 1780143800

Edp of Tennessee PC's National Provider Identifier is 1780143800, issued on Mar 18, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Germantown, TN. The record was last updated on Sep 16, 2019.