MEDICARE: DR. CLAY GATLIN MIDYETT D.D.S.

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
1	1223G0001X	General Practice Dentistry	DS0000008286	TN

General Provider Information

NPI Number	:	1578688479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAY GATLIN MIDYETT D.D.S.

Provider Business Mailing Address
First Line	:	4177 MACON RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38122-2413
Country	:	US
Telephone Number	:	901-452-5277
Fax Number	:	901-452-4834

Provider Business Practice Location Address
First Line	:	4177 MACON RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38122-2413
Country	:	US
Telephone Number	:	901-452-5277
Fax Number	:	901-452-4834

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1194706697 — DR. JEFFREY POPE FRIZZELL DDS
Practice Location Address:

4177 MACON RD
MEMPHIS, TN
38122-2413

Practice Phone: 901-454-6103
Practice Fax: 901-454-6103

1467577304 — DR. JERRY ALVIN MIDYETT D.D.S.
Practice Location Address:

4177 MACON RD
MEMPHIS, TN
38122-2413

Practice Phone: 901-452-5277
Practice Fax: 901-452-4834

1962761551 — RANDALL RAY FEATHER M.D.
Practice Location Address:

3895 GRAHAMWOOD CV
MEMPHIS, TN
38122-3839

Practice Phone: 618-731-1215
Practice Fax:

1700889649 — DR. ROBERT FRANCIS KULINSKI M.D.
Practice Location Address:

4066 SUMMER AVE
MEMPHIS, TN
38122-5225

Practice Phone: 901-452-7391
Practice Fax: 901-452-3439

1942201710 — DR. VEENA MOHAN M.D.
Practice Location Address:

4066 SUMMER AVE STE. 102
MEMPHIS, TN
38122

Practice Phone: 901-767-1100
Practice Fax: 901-682-3192

1942296827 — JAMES KEVIN MC DONALD RPH
Practice Location Address:

3423 SUMMER AVE
MEMPHIS, TN
38122-3609

Practice Phone: 901-452-2189
Practice Fax: 901-452-2167

Directions to “ DR. CLAY GATLIN MIDYETT D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.