Children'S Dental Center Of West Tennessee in Collierville - Pediatric Dentistry
Children'S Dental Center Of West Tennessee - NPI 1154350874
Children'S Dental Center Of West Tennessee is a Pediatric Dentistry in Collierville, Tennessee. Children'S Dental Center Of West Tennessee practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Children'S Dental Center Of West Tennessee is 1154350874. The last update date is 2008-03-31.
Children'S Dental Center Of West Tennessee's current location address is 2028 W Poplar Ave, Collierville, Tennessee. You can contact this provider via phone number 9018619668 and fax number 9018619582. The mailing address for Children'S Dental Center Of West Tennessee is 2028 W Poplar Ave, Collierville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Children'S Dental Center Of West Tennessee |
|---|---|
| Address | 2028 W Poplar Ave, Collierville, Tennessee |
| Phone Number | 9018619668 |
| Fax Number | 9018619582 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Rowland Chris |
| Credentials | D.D.S. |
| Telephone Number | 9018619668 |
NPI Number Detail
| NPI Number | 1154350874 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2008-03-31 |
Provider Mailing Address Detail
| Address | 2028 W Poplar Ave |
|---|---|
| City | Collierville |
| State | Tennessee (TN) |
| Post Code | 380170618 |
| Phone Number | 9018619668 |
| Fax Number | 9018619582 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 7778 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3206803 | TN | -- | |
| 4100868 | TN | BLUE CROSS/ BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Children'S Dental Center Of West Tennessee by the Centers for Medicare & Medicaid Services?
The Children'S Dental Center Of West Tennessee has been assigned the NPI (National Provider Identifier) 1154350874. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Children'S Dental Center Of West Tennessee's facilities are situated?
The facilities of Children'S Dental Center Of West Tennessee are physically located at the following address: 2028 W Poplar Ave, Collierville, TN, 380170618.
What is the area of specialization for Children'S Dental Center Of West Tennessee, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Children'S Dental Center Of West Tennessee is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154350874 to Children'S Dental Center Of West Tennessee?
The Centers for Medicare & Medicaid Services assigned the 1154350874 to Children'S Dental Center Of West Tennessee on 2006-07-03.
As of what date were the details related to Children'S Dental Center Of West Tennessee most recently updated or revised?
The information pertaining to Children'S Dental Center Of West Tennessee, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-31.