Organization
S & K DENTAL AFFILIATES, PC
Active
Organization
S & K DENTAL AFFILIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE STAINBACK (PRACTICE MANAGER)
(615) 885-3525
Entity
Organization
Contact information
Practice address
4761 ANDREW JACKSON PKWY, HERMITAGE, TN 37076-1354
(615) 885-3525
(615) 885-9767
Mailing address
4761 ANDREW JACKSON PKWY, HERMITAGE, TN 37076-1354
(615) 885-3525
(615) 885-9767
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS7729
TN
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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