Provider Demographics
NPI:1609980978
Name:TOWBIN, NORMAN SAUL (DDS)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:SAUL
Last Name:TOWBIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5378 ESTATE OFFICE DR
Mailing Address - Street 2:#1
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-3635
Mailing Address - Country:US
Mailing Address - Phone:901-761-3912
Mailing Address - Fax:
Practice Address - Street 1:5378 ESTATE OFFICE DR
Practice Address - Street 2:#1
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-3635
Practice Address - Country:US
Practice Address - Phone:901-761-3912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS33021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice