Organization
TAILWATER PRACTICE PARTNERS
Active
Parent organization
TAILWATER PRACTICE PARTNERS, PLLC
Other names
Patriot Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAILWATER PRACTICE PARTNERS, PLLC
Authorized official
HILLARY HARRIS (RCM MANAGER)
(912) 270-0920
Entity
Organization
Contact information
Practice address
99 SIGNATURE PL, LEBANON, TN 37087-3285
(615) 444-2034
Mailing address
619 GALLANT WAY, MURFREESBORO, TN 37129-4267
(912) 270-0920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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