Individual
MR. MARK HERNDON WHITEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4251 LEBANON PIKE, HERMITAGE, TN 37076-1206
(615) 889-5545
(615) 665-1066
Mailing address
4251 LEBANON PIKE, HERMITAGE, TN 37076-1206
(615) 889-5545
(615) 665-1066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7130
TN
Other
Enumeration date
03/21/2007
Last updated
11/05/2015
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