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Organization

TIBBS FAMILY DENTISTRY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY TIBBS (OWNER)
(615) 540-0556
Entity
Organization

Contact information

Practice address
5114 OLD HICKORY BLVD STE 200, HERMITAGE, TN 37076-2590
(615) 540-0556
Mailing address
1000 THORN HILL CT, HENDERSONVILLE, TN 37075-9613

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1532725
TN
Enumeration date
10/08/2019
Last updated
10/08/2019
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