Organization
DYNAMIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN AMBURGEY III DDS (PRESIDENT)
(931) 474-1329
Entity
Organization
Contact information
Practice address
24 LIBERTY LN, MCMINNVILLE, TN 37110-3362
(931) 474-1329
(931) 474-1330
Mailing address
PO BOX 191, MCMINNVILLE, TN 37111-0191
(931) 474-1329
(931) 474-1330
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2012
Last updated
05/23/2012
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