Organization
PERIODONTAL CARE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN-MAX JEAN-PIERRE DDS (OWNER)
(615) 264-6404
Entity
Organization
Contact information
Practice address
100 SPRINGHOUSE CT, SUITE 220, HENDERSONVILLE, TN 37075-1609
(615) 264-6404
Mailing address
100 SPRINGHOUSE CT, SUITE 220, HENDERSONVILLE, TN 37075-1609
(615) 264-6404
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8167
TN
Other
Enumeration date
07/05/2011
Last updated
03/17/2016
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