# UPPER CUMBERLAND FAMILY DENTISTRY, PC

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

## Provider details

- **NPI number:** 1205008398
- **Authorized official:** DR. STEVE ELLIS D. D. S. (PRESIDENT)
- **Authorized official phone:** (931) 823-5517

## Contact information

- **Practice address:** 215 OAK ST, LIVINGSTON, TN 38570-1726
- **Practice address phone:** (931) 823-5517
- **Practice address fax:** (931) 823-3852
- **Mailing address:** 215 OAK ST, LIVINGSTON, TN 38570-1726
- **Mailing address phone:** (931) 823-5517
- **Mailing address fax:** (931) 823-3852

## Taxonomy

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

## Other

- **Enumeration date:** 03/28/2008
- **Last updated:** 03/28/2008