Organization
SECD HERMITAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA NORTHCUTT DDS (OWNER, DENTIST)
(205) 915-1865
Entity
Organization
Contact information
Practice address
260 JACKSON MEADOWS DR, HERMITAGE, TN 37076-1425
(205) 915-1865
Mailing address
1040 NATCHEZ VALLEY LN, FRANKLIN, TN 37064-4704
(205) 915-1865
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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