# DR. VANVRANKEN & ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811168479
- **Authorized official:** MRS. LAVENA FAYE PEAVYHOUSE CDA, RDH, MPH (OFFICE MANAGER/HYGIENIST)
- **Authorized official phone:** (931) 454-0001

## Contact information

- **Practice address:** 1958 N JACKSON ST, TULLAHOMA, TN 37388-2204
- **Practice address phone:** (931) 454-0001
- **Practice address fax:** (931) 454-0973
- **Mailing address:** 1958 N JACKSON ST, TULLAHOMA, TN 37388-2204
- **Mailing address phone:** (931) 454-0001
- **Mailing address fax:** (931) 454-0973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2008
- **Last updated:** 03/21/2008