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General NPI Number Information
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NPI Number | 1659234805
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Entity Type | Organization
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Legal Business Name | WATKINS FAMILY DENTISTRY
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 3912 ELVIS PRESLEY BLVD
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City | MEMPHIS
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State | TN
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Zip | 38116-5628
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Country | US
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Telephone | 901-398-8216
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Fax | 901-398-6000
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Provider Business Mailing Address
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Address Line | 3912 ELVIS PRESLEY BLVD
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City | MEMPHIS
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State | TN
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Zip | 38116-5628
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Country | US
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Telephone | 901-398-8216
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Fax | 901-398-6000
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. MALIKA WATKINS
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Credential | DDS
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Telephone | 901-830-9159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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