Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRENT WILLS CHURCH, DDS
ActiveDR. BRENT WILLS CHURCH, DDS is a Pediatric Dentistry healthcare provider located in MEMPHIS, Tennessee. NPI 1669729588 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · MEMPHIS, TN
Registration Details
- NPI Number
- 1669729588
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2012 (14.033830593078 yrs)
- Last Updated
- Sep 28, 2023
- Licenses
-
3659-12 (MS)61218 (KS)61218 (KS)11892 (TN)
Practice Information
- Address
-
1684 POPLAR AVEMEMPHIS, TN, 381042583Browse TN providers · Browse ZIP 38104
- Phone
- 9012541990
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Dentist
- 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.