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Organization
THE DENTAL EDGE OF SMYRNA
Active
Organization
THE DENTAL EDGE OF SMYRNA
Active
Other names
Cedar Grove Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEE NORTHCUTT (MANAGER)
(615) 220-6990
Entity
Organization
Contact information
Practice address
741 PRESIDENT PL, SUITE 120, SMYRNA, TN 37167-6807
(615) 220-6990
(615) 220-6119
Mailing address
741 PRESIDENT PL, SUITE 120, SMYRNA, TN 37167-6807
(615) 220-6990
(615) 220-6119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7885
TN
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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