Organization
ALLIANCE ENDODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN N WEBBER (OFFICE MANAGER)
(931) 553-8484
Entity
Organization
Contact information
Practice address
2287 RALEIGH CT STE A, CLARKSVILLE, TN 37043-2061
(931) 553-8484
Mailing address
2287 RALEIGH CT STE A, CLARKSVILLE, TN 37043-2061
(931) 553-8484
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427015080
—
TN
05
—
1841701497
—
TN
Enumeration date
07/23/2021
Last updated
07/23/2021
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