Organization
DARRYL T DEASON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL T DEASON DDS (DENTIST)
(615) 563-2266
Entity
Organization
Contact information
Practice address
801 W MAIN ST, SUITE B, WOODBURY, TN 37190-1047
(615) 563-2266
(615) 563-4258
Mailing address
801 W MAIN ST, SUITE B, WOODBURY, TN 37190-1047
(615) 563-2266
(615) 563-4258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3575
TN
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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