# MARK H. WHITEFIELD D.D.S., P.C.

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

## Provider details

- **NPI number:** 1922395185
- **Authorized official:** DR. MARK WHITEFIELD (OWNER)
- **Authorized official phone:** (615) 889-5545

## Contact information

- **Practice address:** 4251 LEBANON PIKE, HERMITAGE, TN 37076-1206
- **Practice address phone:** (615) 889-5545
- **Practice address fax:** (615) 889-8420
- **Mailing address:** 4251 LEBANON PIKE, HERMITAGE, TN 37076-1206
- **Mailing address phone:** (615) 889-5545
- **Mailing address fax:** (615) 889-8420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7130 | TN | Yes |
| 1223G0001X | General Practice Dentistry | 8685 | TN | — |

## Other

- **Enumeration date:** 07/07/2011
- **Last updated:** 07/07/2011
