# TENNESSEE DENTAL PROFESSIONALS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TENNESSEE DENTAL PROFESSIONALS PC
- **Other names:** Farmington Dental Centre
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528210382
- **Legal business name:** TENNESSEE DENTAL PROFESSIONALS PC
- **Authorized official:** AMY KROEGER (INS COORD)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 1918 EXETER RD, SUITE 1, GERMANTOWN, TN 38138-2970
- **Practice address phone:** (901) 755-2100
- **Practice address fax:** (901) 755-2490
- **Mailing address:** 1918 EXETER RD, SUITE 1, GERMANTOWN, TN 38138-2970
- **Mailing address phone:** (901) 755-2100
- **Mailing address fax:** (901) 755-2490

## Taxonomy

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

## Other

- **Enumeration date:** 10/10/2008
- **Last updated:** 09/17/2014