Organization
MIDDLECOFF DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY K MIDDLECOFF D.D.S. (OWNER)
(901) 466-0501
Entity
Organization
Contact information
Practice address
17965 US HIGHWAY 64, SOMERVILLE, TN 38068-6906
(901) 466-0501
(901) 466-1130
Mailing address
17965 US HIGHWAY 64, SOMERVILLE, TN 38068-6906
(901) 466-0501
(901) 466-1130
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
11/12/2015
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