Organization
BLACKMAN GROVE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT STUART MILLER DDS (OWNER/DOCTOR)
(615) 907-4746
Entity
Organization
Contact information
Practice address
4183 FRANKLIN RD, SUITE B5, MURFREESBORO, TN 37128-4254
(615) 907-4746
(615) 907-4796
Mailing address
4183 FRANKLIN RD, SUITE B5, MURFREESBORO, TN 37128-4254
(615) 907-4746
(615) 907-4796
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7855
TN
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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