Organization
THE DENTAL EDGE OF SMYRNA
Active
Other names
Cedar Grove Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEE NORTHCUTT (MANAGER)
(615) 220-6990
Entity
Organization
Contact information
Practice address
741 PRESIDENT PL, SUITE 120, SMYRNA, TN 37167-6807
(615) 220-6990
(615) 220-6119
Mailing address
741 PRESIDENT PL, SUITE 120, SMYRNA, TN 37167-6807
(615) 220-6990
(615) 220-6119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7885
TN
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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