# TREASURE ISLAND PEDIATRIC DENTISTRY

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

## Provider details

- **NPI number:** 1841822301
- **Authorized official:** MISS LISA K PAUL (PRACTICE MANAGER)
- **Authorized official phone:** (931) 698-0200

## Contact information

- **Practice address:** 1900 MEDICAL CENTER PARKWAY, 110, MURFREESBORO, TN 37129
- **Practice address phone:** (931) 444-5437
- **Mailing address:** 4119 SCOTT HOLLOW RD, CULLEOKA, TN 38451-3108
- **Mailing address phone:** (931) 444-5437

## Taxonomy

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

## Other

- **Enumeration date:** 02/12/2020
- **Last updated:** 02/12/2020