| NPI | 1215131875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY N PENNINGTON Dentist 901-280-3347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16105) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |