# VIBE DENTAL OF ANTIOCH PLLC

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

## Provider details

- **NPI number:** 1306570619
- **Authorized official:** NATHAN W OWENS DMD (OWNER)
- **Authorized official phone:** (931) 363-1388

## Contact information

- **Practice address:** 5357 MOUNT VIEW RD, ANTIOCH, TN 37013-2308
- **Practice address phone:** (615) 731-8960
- **Mailing address:** 317 S 2ND ST, PULASKI, TN 38478-3842
- **Mailing address phone:** (615) 512-1839

## Taxonomy

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

## Other

- **Enumeration date:** 07/12/2022
- **Last updated:** 07/12/2022