Organization
TENNESSEE FAMILY DENTAL BELLEVUE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARTINEZ (BILLING MANAGER)
(269) 388-5832
Entity
Organization
Contact information
Practice address
917 HARPETH VALLEY PL, NASHVILLE, TN 37221-1141
(615) 646-5151
(616) 469-1036
Mailing address
4025 W MAIN ST STE 102, KALAMAZOO, MI 49006-3726
(269) 388-5832
(616) 469-1036
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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