| Covington Pike Dental Clinic | |
|
3594 Covington Pike Memphis TN 38128-3926 | |
| (901) 377-6800 | |
| Not Available |
| Full Name | Covington Pike Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 3594 Covington Pike, Memphis, Tennessee |
| Authorized Official Name and Position | Fernando C Heros (OWNER) |
| Authorized Official Contact | 9013776800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covington Pike Dental Clinic 3594 Covington Pike Memphis TN 38128-3926 Ph: (901) 377-6800 | Covington Pike Dental Clinic 3594 Covington Pike Memphis TN 38128-3926 Ph: (901) 377-6800 |
| NPI Number | 1326344458 |
|---|---|
| Provider Enumeration Date | 02/08/2011 |
| Last Update Date | 02/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326344458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2952 (Tennessee) | Primary |
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