Organization
TENNESSEE DENTAL PROFESSIONALS PC
Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS PC
Other names
Village Crest Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS PC
Authorized official
KAM SHICK (INSURANCE COORDINATIOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
315 SAM RIDLEY PKWY W, SMYRNA, TN 37167-5625
(615) 220-3440
(615) 220-3449
Mailing address
315 SAM RIDLEY PKWY W, SMYRNA, TN 37167-5625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/03/2010
Last updated
09/17/2014
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