| Elite Dental Germantown Plc | |
|
9064 Corporate Gradens Drive Germantown TN 38138 | |
| (731) 855-1053 | |
| (731) 855-8064 |
| Full Name | Elite Dental Germantown Plc |
|---|---|
| Speciality | Dentist |
| Location | 9064 Corporate Gradens Drive, Germantown, Tennessee |
| Authorized Official Name and Position | Michael Ryan Farrar (OWNER/ DENTIST) |
| Authorized Official Contact | 7318551053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental Germantown Plc 9064 Corporate Gradens Drive Germantown TN 38138 Ph: (731) 855-1053 | Elite Dental Germantown Plc 9064 Corporate Gradens Drive Germantown TN 38138 Ph: (731) 855-1053 |
| NPI Number | 1124552401 |
|---|---|
| Provider Enumeration Date | 04/13/2017 |
| Last Update Date | 04/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124552401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS009456 (Tennessee) | Primary |
Whittemore-gruen, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2165 West St, Germantown, TN 38138 Phone: 901-754-0540 Fax: 901-754-0621 | |
Audubon Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2059 S Houston Levee Rd, Suite 126, Germantown, TN 38139 Phone: 901-853-9800 | |
Purfixsmile Dental, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9245 Poplar Ave, 8-161, Germantown, TN 38138 Phone: 901-414-0350 | |
Graves Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7503 Queens Court, Suite 3, Germantown, TN 38138 Phone: 901-754-9248 Fax: 901-737-3778 | |
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Purfixsmile Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9245 Poplar Ave, Suite 8-161, Germantown, TN 38138 Phone: 901-414-0350 |