Organization
TENNESSEE DENTAL PROFESSIONALS, PC
Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS, PC
Other names
Devine Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS, PC
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization
Contact information
Practice address
4219 HILLSBORO PIKE STE 105, NASHVILLE, TN 37215-3327
(615) 269-4209
Mailing address
4219 HILLSBORO PIKE STE 105, NASHVILLE, TN 37215-3327
(615) 269-4209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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