Organization
ELITE DENTAL CARE EADS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT BUCHANAN DDS (OWNER)
(731) 855-1053
Entity
Organization
Contact information
Practice address
3159 HIGHWAY 64 STE 100, EADS, TN 38028-3322
(901) 465-2382
Mailing address
2066 US HIGHWAY 45 BYP S, TRENTON, TN 38382-3507
(731) 855-1053
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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