Organization
TENNESSEE DENTAL PROFESSIONALS, PC
Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS, PC
Other names
Airline Road Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS, PC
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
5261 AIRLINE RD, STE 102, ARLINGTON, TN 38002-4267
(901) 290-0885
(901) 290-0871
Mailing address
5261 AIRLINE RD, STE 102, ARLINGTON, TN 38002-4267
(901) 290-0885
(901) 290-0871
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
01/17/2024
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