Organization
MID TN DENTISTRY EAST SMYRNA LLC
Active
Other names
Mid TN Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY NORTHCUTT (MANAGER)
(615) 310-0022
Entity
Organization
Contact information
Practice address
431 NISSAN DR, SUITE 202, SMYRNA, TN 37167-4364
(615) 459-4474
Mailing address
405 WILD ELM ST, FRANKLIN, TN 37064-8650
(615) 310-0022
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
TN7885
TN
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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