# HEARTLAND DENTAL CARE OF TENNESSEE, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEARTLAND DENTAL CARE OF TENNESSEE, PC
- **Other names:** Crossroads Family Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306026331
- **Legal business name:** HEARTLAND DENTAL CARE OF TENNESSEE, PC
- **Authorized official:** AMY M KROEGER (INS COORDINATOR)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 4515 HARDING RD, SUITE 104, NASHVILLE, TN 37205-2118
- **Practice address phone:** (615) 385-2005
- **Practice address fax:** (615) 460-9611
- **Mailing address:** 4515 HARDING RD, SUITE 104, NASHVILLE, TN 37205-2118
- **Mailing address phone:** (615) 385-2005
- **Mailing address fax:** (615) 460-9611

## Taxonomy

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

## Other

- **Enumeration date:** 11/07/2007
- **Last updated:** 11/07/2007