OrganizationActive
Aesthetic Dentistry of Collierville PLLC
NPI 1114214426 · Dentist · Collierville, TN
Provider details
- NPI number
- 1114214426
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Alan Blanton, Owner(901) 853-8116
Specialties & taxonomies
Dental Providers
- Customized Equipment (DME)332BC3200X
Suppliers
Practice location
362 New Byhalia Rd
Suite #3
Collierville, TN 38017-3731
Phone: (901) 853-8116
Fax: (901) 853-0134
Approximate (ZIP-level) locationGet directions
Mailing address
362 New Byhalia Rd
Collierville, TN 38017-3731
Registry dates
- Enumerated
- 2011-07-07
- Last updated
- 2011-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.