Individual
BEN EDWARD WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2381 CEDAR AVE, MCKENZIE, TN 38201-2214
(731) 352-3363
(731) 352-3604
Mailing address
2381 CEDAR AVE, MCKENZIE, TN 38201-2214
(731) 352-3363
(731) 352-3604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS 2614
TN
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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