# TUSCULUM DENTAL CARE

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

## Provider details

- **NPI number:** 1255502944
- **Authorized official:** DR. CRAIG A. SHEPHERD (OWNER)
- **Authorized official phone:** (423) 639-7575

## Contact information

- **Practice address:** 22 NORTON RD, GREENEVILLE, TN 37745-3065
- **Practice address phone:** (423) 639-7575
- **Mailing address:** 22 NORTON RD, GREENEVILLE, TN 37745-3065
- **Mailing address phone:** (423) 639-7575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4696 | TN | Yes |

## Other

- **Enumeration date:** 03/20/2008
- **Last updated:** 03/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0016543 | DORAL | TN |
| 01 | — | 0103526 | BCBSTN | TN |