Organization
T KOEN ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMMY J KOEN DMD (OWNER)
(615) 824-5636
Entity
Organization
Contact information
Practice address
131 INDIAN LAKE BLVD, SUITE 202, HENDERSONVILLE, TN 37075-6210
(615) 824-5636
(615) 824-5707
Mailing address
131 INDIAN LAKE BLVD, SUITE 202, HENDERSONVILLE, TN 37075-6210
(615) 824-5636
(615) 824-5707
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4113
TN
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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