Organization
MT. JULIET ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM DAVIS (OWNER)
(615) 758-7668
Entity
Organization
Contact information
Practice address
878 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3391
(615) 758-7668
Mailing address
878 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3391
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7886
TN
1223E0200X
Endodontics
9279
TN
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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