MEDICARE: JOHN D. TOSI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DS7032	TN

General Provider Information

NPI Number	:	1275799561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN D. TOSI DDS

Provider Business Mailing Address
First Line	:	5628 MURRAY RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-3876
Country	:	US
Telephone Number	:	901-761-2550
Fax Number	:	901-761-2551

Provider Business Practice Location Address
First Line	:	5628 MURRAY RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-3876
Country	:	US
Telephone Number	:	901-761-2550
Fax Number	:	901-761-2551

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2008
Last Update Date	:	08/06/2008

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