Fred Wesberry Dentistry, Pllc

NPI 1770849143 - Clinic/Center - 261QA1903X

NPI Details
NPI 1770849143
Enumeration Date 04/10/2012
Last Updated 04/10/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DAVID M DAVID
Position OWNER
Phone (901) 844-1590
Fax (901) 844-1592
Practice Location
716 W BROOKHAVEN CIR
MEMPHIS TN, 38117-4504, US
Phone (901) 844-1590
Fax (901) 844-1592
Business Location
2900 S PERKINS RD
MEMPHIS TN, 38118-3237, US
Phone (901) 362-9995
Fax (901) 362-9989
Toxanomy
Taxonomy Code 261QA1903X
License State Tennessee
License Number 000000051
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According to our database, Fred Wesberry Dentistry, Pllc NPI is 1770849143, taxonomy code is 261QA1903X and license number is 000000051, license state is located at Tennessee. Fred Wesberry Dentistry, Pllc physically located at 716 W Brookhaven Cir, Memphis TN, 38117-4504. NPI Number 1033115704 has the healthcare provider type.

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1770849143 NPI number is provided on an as is basis without warranty of any kind. 1770849143 is maintained by the National Plan & Provider Enumeration System. The contents of Fred Wesberry Dentistry, Pllc are for informational purposes only.