Organization
LEGACY FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE A GRIDER DDS (DENTIST/OWNER)
(615) 867-1735
Entity
Organization
Contact information
Practice address
2805 OLD FORT PKWY, SUITE A, MURFREESBORO, TN 37128-5115
(615) 867-1735
(615) 895-9441
Mailing address
2805 OLD FORT PKWY, SUITE A, MURFREESBORO, TN 37128-5115
(615) 867-1735
(615) 895-9441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10050
TN
122300000X
Dentist
Primary
8431
TN
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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