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NPI 1285395020

OrganizationActive

American Family Dentistry of Memphis, PC

NPI 1285395020 · General Practice Dentistry · Southaven, MS

Provider details

NPI number: 1285395020
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Parent organization: American Family Dentistry of Memphis, PC
Organization subpart: Yes
Authorized official: Celia Hayes, Credentialing Coordinator(217) 540-2100

Specialties & taxonomies

General Practice DentistryPrimary1223G0001X
Dental Providers

Practice location

35 Goodman Rd W Ste F

Southaven, MS 38671-9485

Phone: (662) 253-3013

Fax: (662) 253-3021

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

35 Goodman Rd W Ste F

Southaven, MS 38671-9485

Other names (DBA / former)

Doing business as: American Family Dentistry Southaven

Registry dates

Enumerated: 2022-01-04
Last updated: 2022-01-04
Certified: 2022-01-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

American Family Dentistry of Memphis, PC — NPI 1285395020, Southaven, MS | NPI Central