Peck, Russell C

Peck, Russell C is an individual health care provider with primary practice located at 766 S White Station Rd Suite #1, Memphis TN 38117-4579. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Peck, Russell C can be contacted via phone (901) 685-8090.

Contact Information

Primary practice address
766 S White Station Rd Suite #1 Memphis TN 38117-4579
Phone: (901) 685-8090
Fax: (901) 684-1662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X Tennessee

Profile Details

NPI number 1649249533
LBN Legal business name Peck, Russell C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 2007 - about 19 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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