Individual
ALISON FOSTER NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1715 W MAIN ST, LEBANON, TN 37087-4994
(615) 784-4330
Mailing address
1715 W MAIN ST, LEBANON, TN 37087-4994
(615) 784-4330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10310
TN
1223G0001X
General Practice Dentistry
10119
NC
Other
Enumeration date
07/06/2015
Last updated
10/03/2018
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