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Organization
DENTAL EDGE OF SMYRNA
Active
Organization
DENTAL EDGE OF SMYRNA
Active
Other names
Cedar Grove Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY NORTHCUTT JR. (MANAGER)
(615) 310-0022
Entity
Organization
Contact information
Practice address
741 PRESIDENT PL, SUITE 120, SMYRNA, TN 37167-6807
(615) 310-0022
Mailing address
405 WILD ELM ST, FRANKLIN, TN 37064-8650
(615) 310-0022
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
TN3885
TN
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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