Organization
WHITE HOUSE DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LYNN SANFORD DMD (DENTIST/OWNER)
(615) 581-5000
Entity
Organization
Contact information
Practice address
323 WEST DR, WHITE HOUSE, TN 37188-9294
(615) 581-5000
(615) 672-0096
Mailing address
323 WEST DR, WHITE HOUSE, TN 37188-9294
(615) 581-5000
(615) 672-0096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9273
TN
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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