Organization
TENNESSEE DENTAL PROFESSIONALS PC
Active
Parent organization
TENNESSEE DENTAL SOLUTIONS, P.C.
Other names
Armed Forces Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL SOLUTIONS, P.C.
Authorized official
KIM ZUBER (CRED SUPERVISOR)
(217) 540-5170
Entity
Organization
Contact information
Practice address
2207 LOWES DR W STE A, CLARKSVILLE, TN 37040-6964
(931) 648-4158
Mailing address
2207 LOWES DR., SUITE A, CLARKSVILLE, TN 37040
(931) 648-4158
(931) 648-4156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/30/2014
Last updated
01/10/2017
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