Organization
TENNESSEE DENTAL PROFESSIONALS, PC
Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS, PC
Other names
Cedar City Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS, PC
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
350 HIGHWAY 109 N, LEBANON, TN 37090-1201
(615) 549-5778
(615) 549-5662
Mailing address
350 HIGHWAY 109 N, LEBANON, TN 37090-1201
(615) 549-5778
(615) 549-5662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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