Organization
LEGACY DENTAL FAMILY AND IMPLANT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY AUSTIN RDH, OM (RDH,OM)
(931) 337-4447
Entity
Organization
Contact information
Practice address
582 MILLER AVE STE 102, CROSSVILLE, TN 38555-4481
(931) 291-9144
(931) 202-8676
Mailing address
582 MILLER AVE STE 102, CROSSVILLE, TN 38555-4481
(931) 291-9144
(931) 202-8676
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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