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Dr. Walter Cooper Sandusky III, DDS,MS
Orthodontics and Dentofacial Orthopedic Dentist in Memphis, Tennessee
NPI 1780722959

Walter Cooper Sandusky III is a Orthodontics and Dentofacial Orthopedic Dentist based in Memphis, TN and is specialized in Orthodontics and Dentofacial Orthopedics. Walter Cooper Sandusky III practices in Memphis, TN and has the professional credentials of DDS,MS. The NPI Number for Walter Cooper Sandusky III is 1780722959 and holds a License No. 3809 (Tennessee).

The current practice location address for Walter Cooper Sandusky III is 6262 Poplar Ave, Memphis, TN and can be reached out via phone at 901-761-3700 and via fax at 901-680-0403.

Location: 6262 Poplar Ave, Memphis, TN, 38119-4728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780722959
Provider Name
Walter Cooper Sandusky III
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
6262 Poplar Ave, Memphis, TN, 38119-4728
Phone Number
901-761-3700
Fax Number
901-680-0403
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0037820 01 TN BCBS OF TENNSSEE
832857 01 TN UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
6262 Poplar Ave
City
Memphis
State
Tennessee
Zip
38119-4728
Phone Number
901-761-3700
Fax Number
901-680-0403
person
Provider Business Mailing Address Details
Address
6262 Poplar Ave
City
Memphis
State
Tennessee
Zip
38119-4728
Phone Number
901-761-3700
Fax Number
901-680-0403
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
3809 (Tennessee)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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