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Children's Dental Center Of West Tennessee
Pediatric Dentist in Collierville, Tennessee
NPI 1154350874

Children's Dental Center Of West Tennessee is a Pediatric Dentist based in Collierville, TN and is specialized in Pediatric Dentistry. Children's Dental Center Of West Tennessee practices in Collierville, TN. The NPI Number for Children's Dental Center Of West Tennessee is 1154350874 and holds a License No. 7778 (Tennessee).

The current practice location address for Children's Dental Center Of West Tennessee is 2028 W Poplar Ave, Collierville, TN and can be reached out via phone at 901-861-9668 and via fax at 901-861-9582.

Location: 2028 W Poplar Ave, Collierville, TN, 38017-0618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154350874
Provider Name
Children's Dental Center Of West Tennessee
Credential
Provider Entity Type
Organization
Address
2028 W Poplar Ave, Collierville, TN, 38017-0618
Phone Number
901-861-9668
Fax Number
901-861-9582
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3206803 05 TN
4100868 01 TN BLUE CROSS/ BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2028 W Poplar Ave
City
Collierville
State
Tennessee
Zip
38017-0618
Phone Number
901-861-9668
Fax Number
901-861-9582
person
Provider Business Mailing Address Details
Address
2028 W Poplar Ave
City
Collierville
State
Tennessee
Zip
38017-0618
Phone Number
901-861-9668
Fax Number
901-861-9582
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
7778 (Tennessee)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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