# MID TN DENTISTRY EAST SMYRNA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mid TN Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225425069
- **Authorized official:** MR. DANNY NORTHCUTT (MANAGER)
- **Authorized official phone:** (615) 310-0022

## Contact information

- **Practice address:** 431 NISSAN DR, SUITE 202, SMYRNA, TN 37167-4364
- **Practice address phone:** (615) 459-4474
- **Mailing address:** 405 WILD ELM ST, FRANKLIN, TN 37064-8650
- **Mailing address phone:** (615) 310-0022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | TN7885 | TN | Yes |

## Other

- **Enumeration date:** 04/20/2015
- **Last updated:** 04/20/2015