Organization
TENNESSEE DENTAL PROFESSIONALS PC
Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS PC
Other names
Rivers Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS PC
Authorized official
JEAN CORNELL (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
2943 SOUTH CHURCH RD., SUITE E, MURFREESBORO, TN 37127
(615) 603-3348
Mailing address
2943 SOUTH CHURCH RD., SUITE E, MURFREESBORO, TN 37127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/25/2014
Last updated
09/17/2014
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