Organization
HOMETOWN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW WHITSON D.M.D. (CO-OWNER)
(931) 526-3381
Entity
Organization
Contact information
Practice address
22 N JEFFERSON AVE, COOKEVILLE, TN 38501-3334
(931) 526-3381
Mailing address
22 N JEFFERSON AVE, COOKEVILLE, TN 38501-3334
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10684
TN
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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