Organization
WEEKEND DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WHITEFIELD (PRESIDENT)
(615) 598-5195
Entity
Organization
Contact information
Practice address
3046 COLUMBIA AVE STE 201, FRANKLIN, TN 37064-7440
(615) 598-5195
(615) 889-5545
Mailing address
4251 LEBANON PIKE, HERMITAGE, TN 37076-1206
(615) 598-5195
(615) 889-5545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7130
TN
1223G0001X
General Practice Dentistry
8685
TN
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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