Organization
WALTER C. CHITWOOD JR. DDS, PC
Active
Other names
Implant And General Dentistry Of Middle Tennessee
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER C. CHITWOOD JR. DDS (OWNER/ DENTIST)
(615) 893-8771
Entity
Organization
Contact information
Practice address
1110 W CLARK BLVD, MURFREESBORO, TN 37129-2340
(615) 893-8771
(615) 893-8781
Mailing address
1110 W CLARK BLVD, MURFREESBORO, TN 37129-2340
(615) 893-8771
(615) 893-8781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457729774
NPI
TN
01
—
1679691992
NPI
TN
Enumeration date
11/03/2016
Last updated
11/03/2016
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