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PEDIATRIC DENTISTRY OF MEMPHIS PLLC
NPI 1609400431
Dentist - Pediatric Dentistry in Memphis, TN

Active since March 02, 2020
717 S WHITE STATION RD STE D, MEMPHIS, TN 38117(901) 598-8500 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2021, Jul 20, 2020, Mar 2, 2020 (3 updates tracked since 2020).

About Pediatric Dentistry Of Memphis Pllc NPPES

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

PEDIATRIC DENTISTRY OF MEMPHIS PLLC (NPI 1609400431) is a healthcare organization registered as a pediatric dentistry in Memphis, Tennessee and active in the NPI registry since March 2020. The organization lists David Calvin Harris, President, as its authorized official.

NPPES Registry Identity

NPI1609400431
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF MEMPHIS PLLC
Location Address717 S WHITE STATION RD STE DMemphis, TN 38117-4538
Mailing Address1594 Old Mill RdGermantown, TN 38138-2124 · (901) 598-8500
Phone(901) 598-8500
Organization SubpartNo
Authorized OfficialDavid Calvin HarrisPresident · (901) 598-8500
Enumeration DateMarch 2, 2020
Last NPPES UpdateApril 12, 20213 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
✔ NPI 1609400431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

717 S WHITE STATION RD STE D, Memphis, TN 38117
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Other Identifiers 1

MedicaidQ029348TN

Group Practice 1

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Dentistry Of Memphis PLLC's NPI number?

The NPI number for Pediatric Dentistry Of Memphis PLLC is 1609400431. It was assigned to this organization in the NPPES registry on March 2, 2020.

Where is Pediatric Dentistry Of Memphis PLLC located?

Pediatric Dentistry Of Memphis PLLC is located at 717 S White Station Rd Ste D, Memphis, TN 38117. The listed phone number is (901) 598-8500.

What is Pediatric Dentistry Of Memphis PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry Of Memphis PLLC was last updated on April 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.