Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER STEWART BLAKELY LOU, DDS
ActiveJENNIFER STEWART BLAKELY LOU, DDS is a Pediatric Dentistry healthcare provider located in MEMPHIS, Tennessee. NPI 1033370457 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · MEMPHIS, TN
Registration Details
- NPI Number
- 1033370457
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2008 (18.185591577871 yrs)
- Last Updated
- Feb 17, 2014
- Licenses
-
0401413498 (VA)9605 (TN)3921 (AR)
Practice Information
- Address
-
875 UNION AVEDEPARTMENT OF PEDIATRIC DENTISTRYMEMPHIS, TN, 381033513Browse TN providers · Browse ZIP 38103
- Phone
- 9014486260
- Fax
- 9014483817
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in MEMPHIS, TN
| Name | Credential | NPI |
|---|---|---|
| DR. SHELDON MAURICE GRAVES | — | 1760482046 |
| DR. MICHAEL D. BLEN | DDS | 1174511604 |
| DR. RODRIC LEDELL MILLER | D.D.S. | 1194714014 |
| MR. GREGORY TODD WILKINSON | DDS | 1962597971 |
| MARTHA HARDEN WELLS | DMD | 1699861708 |
| DR. DANIEL DERRICK FREEMAN | DDS | 1922197250 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.