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Organization

TENNESSEE DENTAL PROFESSIONALS PC

Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS PC
Other names
Hendersonville Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS PC
Authorized official
KAM SHICK (INSURANCE COORDINATOR)
(217) 540-5141
Entity
Organization

Contact information

Practice address
111 MAPLE ROW BLVD, HENDERSONVILLE, TN 37075-3853
(615) 822-4812
(615) 822-4810
Mailing address
111 MAPLE ROW BLVD, HENDERSONVILLE, TN 37075-3853
(615) 822-4812
(615) 822-4810

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/23/2011
Last updated
09/17/2014
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