Healthcare Provider Details

I. General information

NPI: 1396820312
Provider Name (Legal Business Name): DR. FELIX SPRINGFIELD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: FELIX SPRINGFIELD D.D.S.

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 03/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 RIDGE LAKE BLVD STE 201
MEMPHIS TN
38120-9426
US

IV. Provider business mailing address

780 RIDGE LAKE BLVD STE 201
MEMPHIS TN
38120-9426
US

V. Phone/Fax

Practice location:
  • Phone: 901-685-1003
  • Fax:
Mailing address:
  • Phone: 901-685-1003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number7006
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: