MEDICARE: DR. RUSSELL C PECK D.D.S.

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	1223P0106X	Oral and Maxillofacial Pathology Dentistry		TN

General Provider Information

NPI Number	:	1649249533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUSSELL C PECK D.D.S.

Provider Business Mailing Address
First Line	:	766 S WHITE STATION RD
Second Line	:	SUITE #1
City	:	MEMPHIS
State	:	TN
Zip	:	38117-4579
Country	:	US
Telephone Number	:	901-685-8090
Fax Number	:	901-684-1662

Provider Business Practice Location Address
First Line	:	766 S WHITE STATION RD
Second Line	:	SUITE #1
City	:	MEMPHIS
State	:	TN
Zip	:	38117-4579
Country	:	US
Telephone Number	:	901-685-8090
Fax Number	:	901-684-1662

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1114996584 — DR. JIMMY E. ALBRIGHT D.D.S.
Practice Location Address:

766 S WHITE STATION RD , SUITE 1
MEMPHIS, TN
38117-4579

Practice Phone: 901-685-8090
Practice Fax: 901-684-1662

1578532024 — DR. R. KUHEN SMITH D.D.S.
Practice Location Address:

766 S WHITE STATION RD , SUITE 1
MEMPHIS, TN
38117-4579

Practice Phone: 901-685-8090
Practice Fax: 901-684-1662

1285783050 — MS. SHERIDAN LAMBE LCSW
Practice Location Address:

766 S WHITE STATION RD , 2A
MEMPHIS, TN
38117-4579

Practice Phone: 901-761-9178
Practice Fax: 901-761-9167

1386848638 — DRS ALBRIGHT, SMITH & PECK
Practice Location Address:

766 S WHITE STATION RD , SUITE #1
MEMPHIS, TN
38117-4579

Practice Phone: 901-685-8090
Practice Fax:

1487339198 — DRS. SMITH & IVERS
Practice Location Address:

766 S WHITE STATION RD STE 1
MEMPHIS, TN
38117-4579

Practice Phone: 901-685-8090
Practice Fax: 901-684-1662

1831760537 — SARAH HAFNER LPC-MHSP (TEMP)
Practice Location Address:

4515 POPLAR AVE STE 224
MEMPHIS, TN
38117-7506

Practice Phone: 901-654-5551
Practice Fax:

Directions to “ DR. RUSSELL C PECK D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.