Organization
GERMANTOWN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES KELLUM DDS (DENTIST)
(615) 604-5584
Entity
Organization
Contact information
Practice address
1324 4TH AVE N, NASHVILLE, TN 37208-2716
(615) 742-5578
Mailing address
1324 4TH AVE N, NASHVILLE, TN 37208-2716
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
8995
TN
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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