Organization
MARY BETH TABOR, DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOLLY CONLEY (PRACTICE ADMINISTRATOR)
(615) 822-5588
Entity
Organization
Contact information
Practice address
107 MAPLE ROW BLVD, HENDERSONVILLE, TN 37075-3853
(615) 822-5588
(615) 822-3206
Mailing address
107 MAPLE ROW BLVD, HENDERSONVILLE, TN 37075-3853
(615) 822-5588
(615) 822-3206
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS8294
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9178906
—
TN
05
—
WE DO NOT HAVE HER #
—
TN
Enumeration date
09/20/2011
Last updated
09/20/2011
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