Organization
DEKALB DENTAL CENTER PLLC
Active
Parent organization
DEKALB DENTAL CENTER PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEKALB DENTAL CENTER PLLC
Authorized official
MITCHELL SCOTT TATUM DDS (OWNER)
(615) 597-4798
Entity
Organization
Contact information
Practice address
201 S 3RD ST, SMITHVILLE, TN 37166-1712
(615) 597-4798
Mailing address
201 S 3RD ST, SMITHVILLE, TN 37166-1712
(615) 597-4798
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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