Organization
SPECIALTY DENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CAPPS (OWNER)
(615) 375-1634
Entity
Organization
Contact information
Practice address
101 W RAILROAD STREET, DICKSON, TN 37055-1335
(615) 446-2600
(615) 446-3100
Mailing address
509 DYKEMAN RD, DICKSON, TN 37055-1052
(615) 375-1634
(615) 375-1356
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
320594194
TN
302R00000X
Health Maintenance Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532557
—
TN
Enumeration date
05/21/2009
Last updated
12/13/2024
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