Organization
ABC FAMILY DENTAL CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATH CUNNINGHAM DDS (OWNER)
(931) 648-0191
Entity
Organization
Contact information
Practice address
1877 FORT CAMPBELL BLVD, CLARKSVILLE, TN 37042-5109
(931) 648-0191
Mailing address
1877 FORT CAMPBELL BLVD, CLARKSVILLE, TN 37042-5109
(931) 648-0191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7784
TN
Other
Enumeration date
10/24/2006
Last updated
10/15/2012
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