Organization
BOBBY MORRISON DDS & BARRY PENDERGRASS DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY R MORRISON DDS (MEMBER)
(931) 729-3356
Entity
Organization
Contact information
Practice address
1824 RAY MORRISON DR, CENTERVILLE, TN 37033-3000
(931) 729-3356
(931) 729-7778
Mailing address
1824 RAY MORRISON DR, CENTERVILLE, TN 37033-3000
(931) 729-3356
(931) 729-7778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3110
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005166
TENNCARE PROVIDER #
TN
Enumeration date
10/20/2006
Last updated
08/22/2020
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