# TENNESSEE DENTAL PROFESSIONALS, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TENNESSEE DENTAL PROFESSIONALS, PC
- **Other names:** Denton Dental Solutions
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811819147
- **Legal business name:** TENNESSEE DENTAL PROFESSIONALS, PC
- **Authorized official:** CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 764-8609

## Contact information

- **Practice address:** 11211 LEBANON RD, MT JULIET, TN 37122-5545
- **Practice address phone:** (615) 754-0853
- **Mailing address:** 11211 LEBANON RD, MT JULIET, TN 37122-5545

## Taxonomy

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

## Other

- **Enumeration date:** 07/28/2026
- **Last updated:** 07/28/2026