# DRS. GLICK & WOODS DENTISTRY

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

## Provider details

- **NPI number:** 1962612325
- **Authorized official:** MRS. KIM R GLICK DDS (DOCTOR)
- **Authorized official phone:** (931) 455-3917

## Contact information

- **Practice address:** 208 N WASHINGTON ST, TULLAHOMA, TN 37388-3649
- **Practice address phone:** (931) 455-3917
- **Practice address fax:** (931) 455-8167
- **Mailing address:** 208 N WASHINGTON ST, TULLAHOMA, TN 37388-3649
- **Mailing address phone:** (931) 455-3917
- **Mailing address fax:** (931) 455-8167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS4568 | TN | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/22/2020