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Organization

GL DENTAL

Active
Other names
Grassland Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DANNE NORTHCUTT JR. (MANAGER)
(615) 310-0022
Entity
Organization

Contact information

Practice address
2176 HILLSBORO RD, SUITE 114, FRANKLIN, TN 37069-6235
(615) 310-0022
Mailing address
405 WILD ELM ST, FRANKLIN, TN 37064-8650
(615) 310-0022

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
TN7885
TN

Other

Enumeration date
06/03/2015
Last updated
06/03/2015
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