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Organization

TENNESSEE DENTAL PROFESSIONALS, PC

Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS, PC
Other names
Advanced Dental Health Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS, PC
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization

Contact information

Practice address
2405 CRESTMOOR RD, NASHVILLE, TN 37215-2005
(615) 460-0123
Mailing address
2405 CRESTMOOR RD, NASHVILLE, TN 37215-2005
(615) 460-0123

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
04/22/2021
Last updated
04/22/2021
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