Organization
TENNESSEE DENTAL PROFESSIONALS, PC
Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS, PC
Other names
Secret City Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS, PC
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-8426
Entity
Organization
Contact information
Practice address
349 S ILLINOIS AVE STE 300, OAK RIDGE, TN 37830-6756
(217) 540-5100
Mailing address
351 S ILLINOIS AVE, OAK RIDGE, TN 37830-6756
(865) 272-2806
(865) 272-2767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
10/02/2018
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