# DARRYL T DEASON

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

## Provider details

- **NPI number:** 1407000417
- **Authorized official:** DR. DARRYL T DEASON DDS (DENTIST)
- **Authorized official phone:** (615) 563-2266

## Contact information

- **Practice address:** 801 W MAIN ST, SUITE B, WOODBURY, TN 37190-1047
- **Practice address phone:** (615) 563-2266
- **Practice address fax:** (615) 563-4258
- **Mailing address:** 801 W MAIN ST, SUITE B, WOODBURY, TN 37190-1047
- **Mailing address phone:** (615) 563-2266
- **Mailing address fax:** (615) 563-4258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS3575 | TN | Yes |

## Other

- **Enumeration date:** 11/05/2008
- **Last updated:** 11/05/2008