Healthcare Provider Details

I. General information

NPI: 1982246823
Provider Name (Legal Business Name): PARIS DENTAL SLEEP CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2019
Last Update Date: 10/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 TYSON AVE
PARIS TN
38242-4832
US

IV. Provider business mailing address

324 TYSON AVE
PARIS TN
38242-4832
US

V. Phone/Fax

Practice location:
  • Phone: 731-642-7920
  • Fax: 731-642-3969
Mailing address:
  • Phone: 731-642-7920
  • Fax: 731-642-3969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY T MORRIS
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 731-642-7920