| College Of Dentistry - Operatory | |
|
875 Union Ave Room C209 Memphis TN 38103-0001 | |
| (901) 448-6267 | |
| (901) 448-2853 |
| Full Name | College Of Dentistry - Operatory |
|---|---|
| Speciality | Clinic/center - Oral And Maxillofacial Surgery |
| Location | 875 Union Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Anthony A Ferrara (SR VICE CHANCELLOR CHIEF FINANCIAL) |
| Authorized Official Contact | 9014485523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| College Of Dentistry - Operatory 875 Union Ave Room E201 Memphis TN 38103 Ph: (901) 448-6224 | College Of Dentistry - Operatory 875 Union Ave Room C209 Memphis TN 38103-0001 Ph: (901) 448-6267 |
| NPI Number | 1053385963 |
|---|---|
| Provider Enumeration Date | 02/15/2006 |
| Last Update Date | 02/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053385963 | NPI | - | NPPES |
| 8784 | Other | TN | STATE LICENSE |
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