Dr. Denise M Mustiful-Martin
Periodontist
1286 Peabody Ave
Memphis
, Tennessee 38104-3550
Dr. Denise M Mustiful-Martin
Periodontist
1286 Peabody Ave
Memphis
, Tennessee 38104-3550
(901) 276-6000
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Denise M Mustiful-Martin
- 1286 Peabody Ave
- Memphis, TN
- Zip : 38104-3550
- Phone : (901) 276-6000
Second Address
- Dr. Denise M Mustiful-Martin
- 1286 Peabody Ave
- Memphis, TN
- Zip : 38104-3550
- Phone : (901) 276-6000
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Is Dr. Denise M Mustiful-Martin a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 5080 | TN |
National Provider Identifier
| NPI | 1073676003 |
|---|---|
| Provider Name | Dr. Denise M Mustiful-Martin |
| First Address | Memphis, TN 38104-3550 |
| Second Address | Memphis, TN 38104-3550 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/12/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.