IndividualActive
Alexis Bourgeois, DDS
NPI 1063142701 · General Practice Dentistry · Bartlett, TN
Provider details
- NPI number
- 1063142701
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 11894 (TN)
Specialties & taxonomies
Dental Providers
Practice location
6630 Summer Knoll Cir Ste 103
Bartlett, TN 38134-2926
Phone: (901) 377-5060
Approximate (ZIP-level) locationGet directions
Mailing address
2017 Westbriar Dr
Cordova, TN 38016-5134
Registry dates
- Enumerated
- 2022-06-15
- Last updated
- 2022-06-21
- Certified
- 2022-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.