Individual
TARA RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 CONFERENCE DR STE 6A, GOODLETTSVILLE, TN 37072-1925
(205) 837-0330
Mailing address
900 CONFERENCE DR STE 6A, GOODLETTSVILLE, TN 37072-1925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12597
TN
Other
Enumeration date
06/01/2023
Last updated
01/11/2026
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