NPI 1114214426

Aesthetic Dentistry of Collierville PLLC

Organisation Dentist Collierville, TN

Practice location

Address: 362 New Byhalia Rd Suite #3, Collierville, TN 38017-3731
Phone: (901) 853-8116
Fax: (901) 853-0134

Authorised official

Name: Alan O Blanton
Title: Owner
Phone: (901) 853-8116

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 4231 (TN)

Other Dentist providers in Tennessee →

Customized Equipment (DME)

Suppliers Taxonomy 332BC3200X

Other Durable Medical Equipment & Medical Supplies providers in Tennessee →

Registry record

NPI: 1114214426
Entity type: Organization
NPI issued: 7 Jul 2011
Record last updated: 31 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.