Ellen Phyllis Carter in Memphis - Orthodontics And Dentofacial Orthopedics

Ellen Phyllis Carter - NPI 1538263132

Ellen Phyllis Carter is a Orthodontics And Dentofacial Orthopedics in Memphis, Tennessee. Ellen Phyllis Carter practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Ellen Phyllis Carter is 1538263132. The last update date is 2013-08-16.

Ellen Phyllis Carter's current location address is 5180 Park Ave, Memphis, Tennessee. You can contact this provider via phone number 9016835827 and fax number 9017661640. The mailing address for Ellen Phyllis Carter is 5180 Park Ave, Memphis, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellen Phyllis Carter
Address 5180 Park Ave, Memphis, Tennessee
Phone Number 9016835827
Fax Number 9017661640
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1538263132
Provider Enumeration Date 2006-09-12
Last Updated Date 2013-08-16

Provider Mailing Address Detail

Address 5180 Park Ave
City Memphis
State Tennessee (TN)
Post Code 38119
Phone Number 9016835827
Fax Number 9017661640

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No DS4082
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 rel

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3224928 TN --
Q000894 TN --

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FAQs about Ellen Phyllis Carter

What is the unique 10-digit identifier code issued to Ellen Phyllis Carter by the Centers for Medicare & Medicaid Services?

The Ellen Phyllis Carter has been assigned the NPI (National Provider Identifier) 1538263132 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Ellen Phyllis Carter is physically located?

The Ellen Phyllis Carter is physically situated at the following address: 5180 Park Ave, Memphis, TN, 38119.

What is Ellen Phyllis Carter's specialized field of practice, and what is the corresponding taxonomy classification code?

The Ellen Phyllis Carter's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1538263132 to Ellen Phyllis Carter?

The Centers for Medicare & Medicaid Services originally issued the 1538263132 to Ellen Phyllis Carter on 2006-09-12.

As of what date was the information regarding Ellen Phyllis Carter, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Ellen Phyllis Carter, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-08-16.

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