Organization
TENNESSEE DENTAL PROFESSIONALS PC
Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS PC
Other names
Blackman Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS PC
Authorized official
AMY KROEGER (INS COOD)
(217) 540-5100
Entity
Organization
Contact information
Practice address
2812 OLD FORT PKWY, SUITE B, MURFREESBORO, TN 37128-4265
(615) 896-9322
(615) 896-2122
Mailing address
2812 OLD FORT PKWY, SUITE B, MURFREESBORO, TN 37128-4265
(615) 896-9322
(615) 896-2122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
09/17/2014
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