# DZ DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aspen Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033500186
- **Authorized official:** MIKA WEISS (PROVIDER RELATIONS)
- **Authorized official phone:** (315) 454-6000

## Contact information

- **Practice address:** 2153 GALLATIN PIKE N, MADISON, TN 37115-2003
- **Practice address phone:** (315) 454-6000
- **Mailing address:** PO BOX 3189, SYRACUSE, NY 13220-3189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS0000009160 | TN | Yes |

## Other

- **Enumeration date:** 02/11/2015
- **Last updated:** 02/11/2015