Organization
HARTSVILLE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MARSHALL (OWNER)
(615) 374-9181
Entity
Organization
Contact information
Practice address
110 MCMURRY BLVD, HARTSVILLE, TN 37074-1112
(615) 374-9181
Mailing address
110 MCMURRY BLVD, HARTSVILLE, TN 37074-1112
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7791
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440279
—
TN
Enumeration date
07/24/2013
Last updated
07/24/2013
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