# ESTILL SPRINGS FAMILY DENTISTRY, PLLC

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

## Provider details

- **NPI number:** 1912217142
- **Authorized official:** JAMES HENDRY (OFFICE MANAGER)
- **Authorized official phone:** (931) 649-3238

## Contact information

- **Practice address:** 802 N MAIN ST, ESTILL SPRINGS, TN 37330-3212
- **Practice address phone:** (931) 649-3238
- **Practice address fax:** (931) 649-3240
- **Mailing address:** PO BOX 515, ESTILL SPRINGS, TN 37330-0515
- **Mailing address phone:** (931) 649-3238
- **Mailing address fax:** (931) 649-3240

## Taxonomy

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

## Other

- **Enumeration date:** 10/21/2010
- **Last updated:** 08/08/2013