Healthcare Provider Details

I. General information

NPI: 1558020768
Provider Name (Legal Business Name): BELLANO DENTAL APPLING SOUTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2021
Last Update Date: 12/28/2021
Certification Date: 12/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 APPLING RD
MEMPHIS TN
38133-5001
US

IV. Provider business mailing address

2625 APPLING RD
MEMPHIS TN
38133-5001
US

V. Phone/Fax

Practice location:
  • Phone: 901-373-4344
  • Fax:
Mailing address:
  • Phone: 901-388-9110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW MEFFORD
Title or Position: DENTIST, OWNER
Credential: DMD
Phone: 901-487-0266