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Organization
CASTLE MID SOUTH DENTAL CENTER PC
Active
Organization
CASTLE MID SOUTH DENTAL CENTER PC
Active
Other names
Bright Now Dental Hendersonville
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY MATHIS DDS (OWNER)
(615) 238-6730
Entity
Organization
Contact information
Practice address
305 INDIAN LAKE BLVD STE B260, HENDERSONVILLE, TN 37075-6376
(615) 238-6730
Mailing address
8415 DATAPOINT DR STE 1020, SAN ANTONIO, TX 78229-3277
(615) 238-6730
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5344
TN
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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