Organization
PULASKI DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYK ANN VICKERS (OFFICE MANAGER)
(931) 363-6300
Entity
Organization
Contact information
Practice address
1426 W COLLEGE ST, PULASKI, TN 38478-5202
(931) 363-6300
(931) 424-8700
Mailing address
1426 W COLLEGE ST, PULASKI, TN 38478-5202
(931) 363-6300
(931) 424-8700
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
12/30/2021
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