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Organization
REGIONAL DENTAL ASSOCIATES
Active
Organization
REGIONAL DENTAL ASSOCIATES
Active
Other names
Affordable Dental & Denture LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN ERIC SCALLIONS DDS (OWNER OF AFFORDABLE DENTAL AND DENT)
(731) 215-2222
Entity
Organization
Contact information
Practice address
51 STONEBRIDGE BLVD., JACKSON, TN 38305
(731) 215-2222
(731) 215-1664
Mailing address
51 STONEBRIDGE BLVD., JACKSON, TN 38305
(731) 215-2222
(731) 215-1664
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS8971
TN
1223G0001X
General Practice Dentistry
Primary
TNDDS#7889
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1501444
—
TN
05
—
1513465
—
TN
05
—
1518060
—
TN
Enumeration date
12/02/2009
Last updated
07/23/2019
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