Provider Demographics
NPI:1114996584
Name:ALBRIGHT, JIMMY E (DDS)
Entity Type:Individual
Prefix:DR
First Name:JIMMY
Middle Name:E
Last Name:ALBRIGHT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:766 S WHITE STATION RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-4579
Mailing Address - Country:US
Mailing Address - Phone:901-685-8090
Mailing Address - Fax:901-684-1662
Practice Address - Street 1:766 S WHITE STATION RD
Practice Address - Street 2:SUITE 1
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-4579
Practice Address - Country:US
Practice Address - Phone:901-685-8090
Practice Address - Fax:901-684-1662
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN1223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNT74238Medicare UPIN