# TENNESSEE DENTAL PROFESSIONALS, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TENNESSEE DENTAL PROFESSIONALS, PC
- **Other names:** Songstad Dental Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194321455
- **Legal business name:** TENNESSEE DENTAL PROFESSIONALS, PC
- **Authorized official:** CELIA HAYES (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8905

## Contact information

- **Practice address:** 3819 CLEGHORN AVE, NASHVILLE, TN 37215-2507
- **Practice address phone:** (615) 383-2242
- **Mailing address:** 3819 CLEGHORN AVE, NASHVILLE, TN 37215-2507

## Taxonomy

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

## Other

- **Enumeration date:** 12/10/2020
- **Last updated:** 02/17/2022