# SIE INVESTMENT GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Three Rivers Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477880490
- **Authorized official:** DR. MARK ALLEN CONNOLLY D.D.S. (PRESIDENT)
- **Authorized official phone:** (615) 907-3456

## Contact information

- **Practice address:** 2395 NEW SALEM HWY, SUITE L, MURFREESBORO, TN 37128-5254
- **Practice address phone:** (615) 907-3456
- **Practice address fax:** (615) 907-3848
- **Mailing address:** 2395 NEW SALEM HWY, SUITE L, MURFREESBORO, TN 37128-5254
- **Mailing address phone:** (615) 907-3456
- **Mailing address fax:** (615) 907-3848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8779 | TN | Yes |

## Other

- **Enumeration date:** 11/12/2009
- **Last updated:** 11/12/2009