Organization
MIDDLE TENNESSEE MANAGEMENT, LLC
Active
Other names
Lewisburg Family Denistry
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN BEECH (CREDENTIALING)
(615) 327-9944
Entity
Organization
Contact information
Practice address
113 THE ACRES, LEWISBURG, TN 37091-2845
(931) 359-7004
(931) 359-0951
Mailing address
113 THE ACRES, LEWISBURG, TN 37091-2845
(931) 359-7004
(931) 359-0951
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512331
—
TN
Enumeration date
08/24/2009
Last updated
08/24/2009
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