Organization
HENDERSONVILLE FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY J DEBOER (OFFICE MANAGER)
(615) 822-8262
Entity
Organization
Contact information
Practice address
230 NEW SHACKLE ISLAND RD STE 170, HENDERSONVILLE, TN 37075-2485
(615) 822-8262
(615) 822-8682
Mailing address
230 NEW SHACKLE ISLAND RD STE 170, HENDERSONVILLE, TN 37075-2485
(615) 822-8262
(615) 822-8682
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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