Firestone Dental Group , P.L.L.C.

LBN: Firestone Dental Group , P.L.L.C.
Firestone Dental Group , P.L.L.C. is an health care organization with primary practice located at 1216 Thomas St , Memphis TN 38107-1703. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Firestone Dental Group , P.L.L.C. can be contacted via phone (901) 525-3800, or through Gipson, Lovelace Preston via phone (901) 525-3800.

Contact Information

Primary practice address
1216 Thomas St Memphis TN 38107-1703
Phone: (901) 525-3800
Fax: (901) 525-4040
Website:
Map and Directions
Authorized official contact:
Name: Gipson, Lovelace Preston Doctor of Dental Surgery (DDS)
Phone: (901) 525-3800

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2550 Tennessee

Profile Details

NPI number 1629129242
LBN Legal business name Firestone Dental Group , P.L.L.C.
DBA Doing business as
Authorized official Gipson, Lovelace Preston Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Oct 8th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629129242 NPPES
Tennessee MEDICAID 1520609

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