# SECD HERMITAGE LLC

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

## Provider details

- **NPI number:** 1407335961
- **Authorized official:** SARA NORTHCUTT DDS (OWNER, DENTIST)
- **Authorized official phone:** (205) 915-1865

## Contact information

- **Practice address:** 260 JACKSON MEADOWS DR, HERMITAGE, TN 37076-1425
- **Practice address phone:** (205) 915-1865
- **Mailing address:** 1040 NATCHEZ VALLEY LN, FRANKLIN, TN 37064-4704
- **Mailing address phone:** (205) 915-1865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/07/2018
- **Last updated:** 08/07/2018