NPI 1003378779

Yousef Odeh Jefferson, DDS

Practitioner Dentist Memphis, TN

Practice location

Address: 2953 Broad Ave, Memphis, TN 38112-2957
Phone: (901) 842-3171
Mailing address: 3461 Mainer St, Houston, TX 77021-5533

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 22569 (TX)

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Registry record

NPI: 1003378779
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Apr 2019
Record last updated: 2 Apr 2019

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.