Individual
PHILLIP KENNEDY TISCHBEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1347 ROCK SPRINGS RD, SMYRNA, TN 37167
(615) 837-6453
Mailing address
1347 ROCK SPRINGS RD, SMYRNA, TN 37167-6108
(615) 837-6453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10458
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2016
Last updated
09/04/2018
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