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Organization

WILLIAM T. SHIPLEY, D.D.S., M.S.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM THURMAN SHIPLEY SR. DDS MSD (ORTHODONTIST)
(931) 626-7846
Entity
Organization

Contact information

Practice address
303 N OAK AVE, COOKEVILLE, TN 38501-2439
(931) 526-7846
Mailing address
303 N OAK AVE, COOKEVILLE, TN 38501-2439
(931) 526-7846

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS 1549
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3201385
TN
Enumeration date
07/07/2011
Last updated
07/07/2011
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