# AFFORDABLE DENTURES & IMPLANTS - TENNESSEE, PLLC

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

## Provider details

- **NPI number:** 1902402928
- **Authorized official:** HALEY WOOSTER (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (712) 733-8551

## Contact information

- **Practice address:** 2285 GALLATIN PIKE N, MADISON, TN 37115-2018
- **Practice address phone:** (615) 280-8430
- **Mailing address:** 2285 GALLATIN PIKE N, MADISON, TN 37115-2018
- **Mailing address phone:** (615) 280-8430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2020
- **Last updated:** 11/17/2021