Organization
WALLING DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA NEWTON (OFFICE MANAGER)
(931) 657-5204
Entity
Organization
Contact information
Practice address
11765 MCMINNVILLE HWY, WALLING, TN 38587-5040
(931) 657-5204
(931) 657-2134
Mailing address
11765 MCMINNVILLE HWY, WALLING, TN 38587-5040
(931) 657-5204
(931) 657-2134
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS1997
TN
1223G0001X
General Practice Dentistry
DS4172
TN
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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