Organization
TENNESSEE DENTAL PROFESSIONALS, PC
Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS, PC
Other names
Dentistry on Walnut Grove
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS, PC
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-8426
Entity
Organization
Contact information
Practice address
8790 WALNUT GROVE RD, CORDOVA, TN 38018-4379
(217) 540-5100
Mailing address
8790 WALNUT GROVE RD, CORDOVA, TN 38018-4379
(217) 540-5100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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