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HIGGINBOTHAM FAMILY DENTAL
NPI 1457717381
Dentist - General Practice in Memphis, TN

Active since January 07, 2016
113 HARBOR TOWN SQ STE 203, MEMPHIS, TN 38103(901) 453-6081(901) 453-6083 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 9, 2024, Oct 9, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Higginbotham Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIGGINBOTHAM FAMILY DENTAL (NPI 1457717381) is a healthcare organization registered as a general practice in Memphis, Tennessee and active in the NPI registry since January 2016. The organization maintains 3 additional practice locations and lists Misti Ross, Insurance Director, as its authorized official.

NPPES Registry Identity

NPI1457717381
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHIGGINBOTHAM DENTAL GROUP, PLLC
Location Address113 HARBOR TOWN SQ STE 203Memphis, TN 38103-8890
Mailing Address1804 Old Greensboro Rd Bldg BJonesboro, AR 72405-0003 · (870) 336-5620 · Fax (870) 336-3810
Phone(901) 453-6081
Fax(901) 453-6083
Organization SubpartNo
Authorized OfficialMisti RossInsurance Director · (870) 336-3732
Enumeration DateJanuary 7, 2016
Last NPPES UpdateApril 9, 20244 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1457717381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 10169 (TN)
113 HARBOR TOWN SQ STE 203, Memphis, TN 38103
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Other Names 1

Doing Business AsHigginbotham Family Dental

Secondary Practice Locations 3

Location 16630 Summer Knoll Cir Ste 103Bartlett, TN 38134-2926 · Phone (901) 377-5060 · Fax (901) 382-5181
Location 27685 Wolf River Cir Ste 101Germantown, TN 38138-1749 · Phone (901) 753-2225
Location 35100 Wheelis Dr Ste 214Memphis, TN 38117-4541 · Phone (901) 767-1610

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BINAL JAGADISH PATEL
Dentist
113 HARBOR TOWN SQ STE 203
MEMPHIS, TN 38103
Shelby County (901) 453-6081
ROBERT ELLISON
Dentist (General Practice)
113 HARBOR TOWN SQ STE 203
MEMPHIS, TN 38103
Shelby County (901) 453-6081
MARIM ROSS DDS
Dentist (General Practice)
113 HARBOR TOWN SQ STE 203
MEMPHIS, TN 38103
Shelby County (901) 453-6081

Frequently Asked Questions

What is HIGGINBOTHAM DENTAL GROUP, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1457717381, enumerated as an "organization" on January 07, 2016.

Where is the provider located?

The provider is located at 113 HARBOR TOWN SQ STE 203 MEMPHIS, TN 38103 and the phone number is (901) 453-6081.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.