Organization
HEARTLAND DENTAL CARE OF TN, PC
Active
Parent organization
HEARTLAND DENTAL CARE OF TN, PC
Other names
Pleasant Grove Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL CARE OF TN, PC
Authorized official
KIM WILSON (CRED SUPERVISOR)
(615) 754-2295
Entity
Organization
Contact information
Practice address
545 N MOUNT JULIET RD, SUITE 300, MOUNT JULIET, TN 37122-4416
(615) 773-0412
Mailing address
545 N MOUNT JULIET RD, SUITE 300, MOUNT JULIET, TN 37122-4416
(615) 773-0412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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