| Pediatric Dental Associates Pllc | |
|
6611 Kirby Center Cv Memphis TN 38115-4313 | |
| (901) 486-8686 | |
| Not Available |
| Full Name | Pediatric Dental Associates Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6611 Kirby Center Cv, Memphis, Tennessee |
| Authorized Official Name and Position | John Arthur Acosta (OWNER/PROVIDER) |
| Authorized Official Contact | 9012888885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Associates Pllc 5286 Cole Rd Memphis TN 38120-2402 Ph: (901) 288-8885 | Pediatric Dental Associates Pllc 6611 Kirby Center Cv Memphis TN 38115-4313 Ph: (901) 486-8686 |
| NPI Number | 1851954903 |
|---|---|
| Provider Enumeration Date | 04/15/2019 |
| Last Update Date | 04/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851954903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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