Provider Demographics
NPI:1629066873
Name:TURNIPSEED, DELLWYN MICHELLE (DMD)
Entity Type:Individual
Prefix:MS
First Name:DELLWYN
Middle Name:MICHELLE
Last Name:TURNIPSEED
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1195 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-4807
Mailing Address - Country:US
Mailing Address - Phone:901-722-8445
Mailing Address - Fax:901-722-2425
Practice Address - Street 1:1195 POPLAR AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-4807
Practice Address - Country:US
Practice Address - Phone:901-722-8445
Practice Address - Fax:901-722-2425
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000038611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice