Organization
LA VERGNE DENTAL ASSOCIATES, PLLC
Active
Other names
Tennessee Family Dental La Vergne
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN MARK O'NEILL DMD (OWNER / DENTIST)
(615) 280-2667
Entity
Organization
Contact information
Practice address
6001 JACKSON SQUARE BLVD STE 1001, LA VERGNE, TN 37086-2768
(615) 260-2667
(615) 280-6615
Mailing address
6001 JACKSON SQUARE BLVD STE 1001, LA VERGNE, TN 37086-2768
(615) 260-2667
(615) 280-6615
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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