# TENNESSEE DENTAL PROFESSIONALS PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TENNESSEE DENTAL PROFESSIONALS PC
- **Other names:** Village Crest Family Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811229719
- **Legal business name:** TENNESSEE DENTAL PROFESSIONALS PC
- **Authorized official:** KAM SHICK (INSURANCE COORDINATIOR)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 315 SAM RIDLEY PKWY W, SMYRNA, TN 37167-5625
- **Practice address phone:** (615) 220-3440
- **Practice address fax:** (615) 220-3449
- **Mailing address:** 315 SAM RIDLEY PKWY W, SMYRNA, TN 37167-5625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2010
- **Last updated:** 09/17/2014