Organization
TOOTH EXTRACTION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY WILLIAMS DMD (COO)
(615) 447-5011
Entity
Organization
Contact information
Practice address
264 NEW SHACKLE ISLAND RD STE 105A, HENDERSONVILLE, TN 37075-2482
(615) 447-5011
Mailing address
264 NEW SHACKLE ISLAND RD STE 105A, HENDERSONVILLE, TN 37075-2482
(615) 447-5011
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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