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Organization
ELITE DENTAL CARE DYERSBURG
Active
Organization
ELITE DENTAL CARE DYERSBURG
Active
Other names
Elite Dental Care Dyersburg
Organization subpart
No
Provider details
NPI number
Authorized official
TOM LANNOM (CHIEF OPERATING OFFICER)
(731) 855-1053
Entity
Organization
Contact information
Practice address
427 TROY AVE, DYERSBURG, TN 38024-3947
(731) 286-1583
Mailing address
2066 US HIGHWAY 45 BYP S, TRENTON, TN 38382-3507
(731) 855-1053
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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