Organization
UPPER CUMBERLAND FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE E ELLIS DDS (PRESIDENT)
(931) 823-5517
Entity
Organization
Contact information
Practice address
554 WEST MAIN STREET, ALGOOD, TN 38506
(931) 537-2254
(931) 537-2312
Mailing address
215 OAK ST, LIVINGSTON, TN 38570-1726
(931) 823-5517
(931) 823-3852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10141
TN
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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