Individual
DR. SAMUEL KEITH TEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
115 INTERSTATE DR NW, CLEVELAND, TN 37312-2642
(423) 479-6005
(423) 472-6849
Mailing address
8787 STREAMSIDE DR, OOLTEWAH, TN 37363-9472
(423) 238-5660
(423) 472-6849
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8080
TN
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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