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Organization
WEST TENNESSEE DENTISTRY PLLC
Active
Organization
WEST TENNESSEE DENTISTRY PLLC
Active
Other names
Dove Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
1108 WHITEHALL ST, JACKSON, TN 38301-3730
(972) 869-3789
Mailing address
2403 LACY LN, CARROLLTON, TX 75006-6514
(972) 869-3789
(972) 590-8809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7557
TN
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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