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DR. BRENT WILLS CHURCH DDS
NPI 1669729588
Dentist - Pediatric Dentistry in Memphis, TN

Active since August 09, 2012
1684 POPLAR AVE, MEMPHIS, TN 38104(901) 254-1990 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brent Wills Church Dds NPPES

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

DR. BRENT WILLS CHURCH DDS (NPI 1669729588) is an individual pediatric dentistry provider in Memphis, Tennessee, licensed in Tennessee (11892) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1669729588
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. BRENT WILLS CHURCHCredential: DDS
Location Address1684 POPLAR AVEMemphis, TN 38104-2583
Mailing Address4270 Chickasaw RdMemphis, TN 38117-1615 · (901) 652-0411
Phone(901) 254-1990
Sole ProprietorNo
Enumeration DateAugust 9, 2012
Last NPPES UpdateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
✔ NPI 1669729588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in TN · 11892✔ Licensed in KS · 61218
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.
Also ListedDentistTaxonomy 122300000X · License 3659-12 (MS), 61218 (KS)
1684 POPLAR AVE, Memphis, TN 38104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

MR. CHARLIE ANDREW TACITO
Ambulance (Land Transport)
1684 POPLAR AVE
MEMPHIS, TN 38104
Shelby County (901) 278-1616
DR. MELODY JEAN PENDLETON GREENE D.D.S.
Dentist
1684 POPLAR AVE
MEMPHIS, TN 38104
Shelby County (901) 861-9668

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 Brent Church's NPI number?

The NPI number for Brent Church is 1669729588. It was assigned to this individual provider in the NPPES registry on August 9, 2012.

Where is Brent Church located?

Brent Church practices at 1684 Poplar Ave, Memphis, TN 38104. The listed phone number is (901) 254-1990.

What is Brent Church's specialty?

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

What insurance does Brent Church accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Brent Church as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brent Church was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.