Organization
TENNESSEE DENTAL PROFESSIONALS, PC
Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS, PC
Other names
Dental Care of Lee Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS, PC
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
1730 LEE VICTORY PKWY, SMYRNA, TN 37167-6674
(615) 355-0269
(615) 462-7490
Mailing address
1730 LEE VICTORY PKWY, SMYRNA, TN 37167-6674
(615) 751-5087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
07/18/2019
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