Church, Brent Wills

Church, Brent Wills is an individual health care provider with primary practice located at 1684 Poplar Ave , Memphis TN 38104-2583. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Church, Brent Wills can be contacted via phone (901) 254-1990.

Contact Information

Primary practice address
1684 Poplar Ave Memphis TN 38104-2583
Phone: (901) 254-1990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3659-12 Mississippi
Dental Providers / Dentist 122300000X 61218 Kansas
Dental Providers / Pediatric Dentistry 1223P0221X 61218 Kansas
Dental Providers / Pediatric Dentistry 1223P0221X 11892 Tennessee

Profile Details

NPI number 1669729588
LBN Legal business name Church, Brent Wills
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2012
Last updated Sep 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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