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Organization
MID TN DENTISTRY EAST SMYRNA LLC
Active
Organization
MID TN DENTISTRY EAST SMYRNA LLC
Active
Other names
Mid TN Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY NORTHCUTT (MANAGER)
(615) 310-0022
Entity
Organization
Contact information
Practice address
431 NISSAN DR, SUITE 202, SMYRNA, TN 37167-4364
(615) 459-4474
Mailing address
405 WILD ELM ST, FRANKLIN, TN 37064-8650
(615) 310-0022
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
TN7885
TN
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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