| Higginbotham Family Dental | |
|
113 Harbor Town Sq Ste 203 Memphis TN 38103-8890 | |
| (901) 453-6081 | |
| (901) 453-6083 |
| Full Name | Higginbotham Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 113 Harbor Town Sq Ste 203, Memphis, Tennessee |
| Authorized Official Name and Position | Misti Ross (INSURANCE DIRECTOR) |
| Authorized Official Contact | 8703363732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Higginbotham Family Dental 1804 Old Greensboro Rd Bldg B Jonesboro AR 72405-0003 Ph: (870) 336-5620 | Higginbotham Family Dental 113 Harbor Town Sq Ste 203 Memphis TN 38103-8890 Ph: (901) 453-6081 |
| NPI Number | 1457717381 |
|---|---|
| Provider Enumeration Date | 01/07/2016 |
| Last Update Date | 04/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457717381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10169 (Tennessee) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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