# TULLAHOMA FAMILY DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1518542760
- **Authorized official:** BRETT GERMAIN DDS (DENTIST)
- **Authorized official phone:** (612) 720-9549

## Contact information

- **Practice address:** 304 E LINCOLN ST, TULLAHOMA, TN 37388-3750
- **Practice address phone:** (931) 461-9030
- **Mailing address:** 304 E LINCOLN ST, TULLAHOMA, TN 37388-3750
- **Mailing address phone:** (931) 461-9030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2021
- **Last updated:** 03/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1366758906 | BRETT GERMAIN NPI NUMBER | — |
| 01 | — | 1528137742 | CHRISTOPHER ANDERSON NPI NUMBER | — |
| 01 | — | 1922314566 | NATALIE GERMAIN NPI NUMBER | — |