| NPI | 1487520623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER COLLINS Orthodontist 901-921-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |