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Organization
SOH OF TENNEESSEE PLLC
Active
Organization
SOH OF TENNEESSEE PLLC
Active
Parent organization
SOH OF TENNEESSEE PLLC
Other names
Myers Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOH OF TENNEESSEE PLLC
Authorized official
ASHLY SUNSHINE (CREDENTIALING)
(636) 362-4986
Entity
Organization
Contact information
Practice address
101 MARKET PL, CLINTON, TN 37716-3751
(865) 457-3211
Mailing address
1190 MERAMEC STATION RD STE 110, BALLWIN, MO 63021-6902
(636) 362-4986
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
Other
Enumeration date
03/07/2023
Last updated
09/28/2026
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