Individual
DENISE R DINGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
516 W MAIN ST STE C, SMITHVILLE, TN 37166-1142
(615) 597-4049
(615) 597-7300
Mailing address
516 W MAIN ST STE C, SMITHVILLE, TN 37166-1142
(615) 597-4049
(615) 597-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD022016
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130799
BCBST
TN
05
—
3064940
—
TN
Enumeration date
08/01/2006
Last updated
07/03/2019
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