Organization
SOUTHEASTERN DENTAL OF MT JULIET PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE METCALF (PRACTICE ADMINISTRATOR)
(615) 568-3258
Entity
Organization
Contact information
Practice address
631 S MOUNT JULIET RD, MT JULIET, TN 37122-6319
(615) 754-6677
(615) 773-5002
Mailing address
631 S MOUNT JULIET RD, MT JULIET, TN 37122-6319
(615) 754-6677
(615) 773-5002
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164592226
DARREN FOSTER, DDS
—
01
—
1700203007
R. W. ARCHER
—
01
—
1932652302
KINJAL VORA, DDS
—
Enumeration date
06/06/2019
Last updated
06/06/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us