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Organization
WARISE FAMILY DENTISTRY PC
Active
Organization
WARISE FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY R WARISE DDS (OWNER, CEO)
(615) 459-3366
Entity
Organization
Contact information
Practice address
100 MAYFIELD DRIVE, SMYRNA, TN 37167-3017
(615) 459-3366
(615) 459-6545
Mailing address
100 MAYFIELD DRIVE, SMYRNA, TN 37167-3017
(615) 459-3366
(615) 459-6545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS005144
TN
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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