Organization
DENTAL EDGE OF SMYRNA
Active
Other names
Cedar Grove Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY NORTHCUTT JR. (MANAGER)
(615) 310-0022
Entity
Organization
Contact information
Practice address
741 PRESIDENT PL, SUITE 120, SMYRNA, TN 37167-6807
(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
TN3885
TN
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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