Individual
DR. MITCHELL SCOTT TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S,
Contact information
Practice address
201 S 3RD ST, SMITHVILLE, TN 37166-1712
(615) 597-4798
(615) 597-3171
Mailing address
201 S 3RD ST, SMITHVILLE, TN 37166-1712
(615) 597-4798
(615) 597-3171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS 7129
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3142596
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/17/2006
Last updated
10/22/2020
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