Organization
HICKORY CREEK DENTAL ARTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RUSSELL HAMBLEN DDS (PRESIDENT)
(931) 668-4184
Entity
Organization
Contact information
Practice address
2681 S CHANCERY ST, MC MINNVILLE, TN 37110-3683
(931) 668-4184
(931) 668-4185
Mailing address
2681 S CHANCERY ST, MC MINNVILLE, TN 37110-3683
(931) 668-4184
(931) 668-4185
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS2019
TN
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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