| Organization Name: | CHURCHWELL PEDIATRIC DENTISTRY |
| NPI Number: | 1184722324 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANCY P TURNEY (OFFICE MANAGER) |
| Mailing Address: | 1099 Poplar View Lane North Collierville |
| State: | TN US |
| Postal Code: | 380179339 |
| Phone Number: | 9018549555 |
| Fax Number: | 9018534879 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | 3021033 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |