| Generational Smiles I Inc. | |
|
6825 Winchester Rd Ste 1a Memphis TN 38115-4423 | |
| (901) 509-2353 | |
| (901) 509-2370 |
| Full Name | Generational Smiles I Inc. |
|---|---|
| Speciality | Dentist |
| Location | 6825 Winchester Rd Ste 1a, Memphis, Tennessee |
| Authorized Official Name and Position | Jeffery Dolberry (PRESIDENT) |
| Authorized Official Contact | 9017948211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generational Smiles I Inc. 6825 Winchester Rd Ste 1a Memphis TN 38115-4423 Ph: (901) 509-2353 | Generational Smiles I Inc. 6825 Winchester Rd Ste 1a Memphis TN 38115-4423 Ph: (901) 509-2353 |
| NPI Number | 1730499500 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 10/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730499500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5273 (Tennessee) | Primary |
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