Organization
TENNESSEE DENTAL PROFESSIONALS, PC
Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS, PC
Other names
Bedford Avenue Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS, PC
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
3817 BEDFORD AVE STE 110, NASHVILLE, TN 37215-2534
(615) 298-5948
Mailing address
3817 BEDFORD AVE STE 110, NASHVILLE, TN 37215-2534
(615) 298-5948
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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