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NPI Code Detail

MEDICARE: DR. CHARLES ZEL PLESOFSKY DDS

MEDICARE:  DR. CHARLES ZEL PLESOFSKY  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDS1069TN

General Provider Information

NPI Number : 1528133352
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES ZEL PLESOFSKY DDS
Provider Business Mailing Address
First Line : 4515 POPLAR AVE
Second Line : SUITE 300
City : MEMPHIS
State : TN
Zip : 38117-7503
Country : US
Telephone Number : 901-682-3311
Fax Number : 901-682-3312
Provider Business Practice Location Address
First Line : 4515 POPLAR AVE
Second Line : SUITE 300
City : MEMPHIS
State : TN
Zip : 38117-7503
Country : US
Telephone Number : 901-682-3311
Fax Number : 901-682-3312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 07/08/2007

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Directions to “ DR. CHARLES ZEL PLESOFSKY DDS” Practice Location

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