Individual
DR. PHILLIP LEN DOTSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1290 1ST AVE, LAWRENCEBURG, TN 38464-2762
(931) 762-3409
(931) 762-3488
Mailing address
917 S LANE CT, BRENTWOOD, TN 37027-7645
(615) 832-5555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS0000003961
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0044087
BLUECROSSBLUESHIELD
—
01
—
014505
TN CARE PROVIDER FACILITY
TN
Enumeration date
10/26/2005
Last updated
07/08/2007
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