# Brent Wills Church, DDS

- **NPI:** 1669729588
- **NPI Type:** Individual
- **Status:** Active
- **Enumeration date:** 2012-08-09
- **Last updated:** 2023-09-28
- **Practice address:** 1684 Poplar Ave, Memphis, TN 38104-2583
- **Mailing address:** 4270 Chickasaw Rd, Memphis, TN 38117-1615
- **Phone:** 901-254-1990

## Taxonomy

| Code | Description | License | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3659-12 | MS | No |
| 122300000X | Dentist | 61218 | KS | No |
| 1223P0221X | Dentist, Pediatric Dentistry | 61218 | KS | No |
| 1223P0221X | Dentist, Pediatric Dentistry | 11892 | TN | Yes |

## Provider directory

- [Dentists in Tennessee](https://www.verifytx.com/npi-lookup/taxonomy/dentist/TN/)
- [Psychologists in Tennessee](https://www.verifytx.com/npi-lookup/taxonomy/psychologist/TN/)
- [Counselors in Tennessee](https://www.verifytx.com/npi-lookup/taxonomy/counselor/TN/)
- [Substance use rehabilitation facilities in Tennessee](https://www.verifytx.com/npi-lookup/taxonomy/substance-abuse-rehabilitation-facility/TN/)
- [Psychiatric hospitals in Tennessee](https://www.verifytx.com/npi-lookup/taxonomy/psychiatric-hospital/TN/)
- [Psychiatric residential treatment facilities in Tennessee](https://www.verifytx.com/npi-lookup/taxonomy/psychiatric-residential-treatment-facility/TN/)

## Data Notice:

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