institution
New Image Family Dentistry M
Non-Pharmacy Dispensing Site in Memphis, Tennessee
NPI 1538242862

New Image Family Dentistry M is a Non-Pharmacy Dispensing Site based in Memphis, TN. New Image Family Dentistry M practices in Memphis, TN. The NPI Number for New Image Family Dentistry M is 1538242862 and holds a License No. DS0000006961 (Tennessee).

The current practice location address for New Image Family Dentistry M is 2713 Mount Moriah Rd Ste 101, Memphis, TN and can be reached out via phone at 901-547-1594 and via fax at 901-794-2165.

Location: 2713 Mount Moriah Rd Ste 101, Memphis, TN, 38115-1620
institution
Provider Profile Details
NPI Number
1538242862
Provider Name
New Image Family Dentistry M
Credential
Provider Entity Type
Organization
Address
2713 Mount Moriah Rd Ste 101, Memphis, TN, 38115-1620
Phone Number
901-547-1594
Fax Number
901-794-2165
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4438708 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
2713 Mount Moriah Rd Ste 101
City
State
Zip
38115-1620
Phone Number
901-547-1594
Fax Number
901-794-2165
person
Provider Business Mailing Address Details
Address
2713 Mount Moriah Rd Ste 101
City
State
Zip
38115-1620
Phone Number
901-547-1594
Fax Number
901-794-2165
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
DS0000006961 (Tennessee)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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