Organization
TENNESSEE DENTAL PROFESSIONALS, PC
Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS, PC
Other names
Mouse Creek Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS, PC
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
609 PAUL HUFF PKWY NW, CLEVELAND, TN 37312-2970
(423) 244-0783
Mailing address
609 PAUL HUFF PKWY NW, CLEVELAND, TN 37312-2970
(423) 244-0783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
07/18/2019
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