Organization
TENNESSEE DENTAL PROFESSIONALS PC
Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS PC
Other names
Farmington Dental Centre
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS PC
Authorized official
AMY KROEGER (INS COORD)
(217) 540-5100
Entity
Organization
Contact information
Practice address
1918 EXETER RD, SUITE 1, GERMANTOWN, TN 38138-2970
(901) 755-2100
(901) 755-2490
Mailing address
1918 EXETER RD, SUITE 1, GERMANTOWN, TN 38138-2970
(901) 755-2100
(901) 755-2490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/10/2008
Last updated
09/17/2014
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