Provider Demographics
NPI:1457342362
Name:CHRISTIAN, SOLOMON K (DDS)
Entity Type:Individual
Prefix:
First Name:SOLOMON
Middle Name:K
Last Name:CHRISTIAN
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 1:3037 S. PERKINS RD.
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118
Mailing Address - Country:US
Mailing Address - Phone:901-566-1414
Mailing Address - Fax:901-566-1034
Practice Address - Street 1:3037 S PERKINS RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-3238
Practice Address - Country:US
Practice Address - Phone:901-566-1414
Practice Address - Fax:901-566-1034
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice