Individual
DR. SAMUEL COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
205 DEMONBREUN ST APT 1503, NASHVILLE, TN 37201-2347
(865) 243-7315
Mailing address
25 STONE RIDGE CV, HUNTINGDON, TN 38344-1738
(731) 986-9484
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10616
TN
Other
Enumeration date
11/30/2016
Last updated
10/25/2018
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