Individual
DR. KEITH NELSON SHRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3441 LEBANON PIKE, SUITE 105, HERMITAGE, TN 37076-2097
(615) 883-4600
Mailing address
3441 LEBANON PIKE, SUITE 105, HERMITAGE, TN 37076-2097
(615) 883-4600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4892
TN
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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