# DAIGLE MEDICAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114418787
- **Authorized official:** RORY DAIGLE (OWNER/MANAGER)
- **Authorized official phone:** (931) 393-3916

## Contact information

- **Practice address:** 207 FAIRWAYS BLVD N, TULLAHOMA, TN 37388-4813
- **Practice address phone:** (931) 393-3916
- **Mailing address:** PO BOX 62, TULLAHOMA, TN 37388-0062
- **Mailing address phone:** (931) 393-3916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2018
- **Last updated:** 05/19/2018