Organization
WEST TENNESSEE DENTAL GROUP
Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS PC
Authorized official
BRITTANY HOWARD (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
174 COMMUNITY PARK RD, DYERSBURG, TN 38024-9243
(731) 285-8890
Mailing address
174 COMMUNITY PARK RD, DYERSBURG, TN 38024-9243
(731) 285-8890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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