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General NPI Number Information
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NPI Number | 1861557555
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Entity Type | Organization
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Legal Business Name | WERNER ORTHODONTICS PC
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Dates
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Enumeration Date | 12/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6425 N QUAIL HOLLOW RD SUITE 201
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City | MEMPHIS
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State | TN
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Zip | 38120-1437
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Country | US
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Telephone | 901-767-5415
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Fax | 901-767-2378
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Provider Business Mailing Address
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Address Line | 6425 N QUAIL HOLLOW RD SUITE 201
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City | MEMPHIS
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State | TN
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Zip | 38120-1437
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Country | US
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Telephone | 901-767-5415
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Fax | 901-767-2378
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Authorized Official
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Title or Position | PARTNER
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Name | DR. STANLEY PATRICK WERNER
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Credential | D.D.S., M.S.
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Telephone | 901-767-5415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS1780
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License Number State | TN
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