Organization
TULLAHOMA DENTAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN ERIC SCALLIONS D.D.S. (OWNER)
(931) 454-0001
Entity
Organization
Contact information
Practice address
1958 N JACKSON ST, TULLAHOMA, TN 37388-2204
(931) 454-0001
Mailing address
1958 N. JACKSON ST., TULLAHOMA, TN 37388
(931) 454-0001
(931) 454-0973
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4464
TN
122300000X
Dentist
Primary
7889
TN
Other
Enumeration date
05/04/2009
Last updated
01/09/2014
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