Organization
TABOR DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PHILLIP TABOR D.D.S. (CO-OWNER)
(615) 822-3200
Entity
Organization
Contact information
Practice address
107 MAPLE ROW BLVD, HENDERSONVILLE, TN 37075-3853
(615) 822-3200
(615) 822-3206
Mailing address
107 MAPLE ROW BLVD, HENDERSONVILLE, TN 37075-3853
(615) 822-3200
(615) 822-3206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS2567
TN
1223G0001X
General Practice Dentistry
DS8247
TN
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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