Organization
STONEGATE FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS ERWIN (BUSINESS MANAGER)
(615) 624-6919
Entity
Organization
Contact information
Practice address
206 N THOMPSON LN STE A, MURFREESBORO, TN 37129-4333
(615) 624-6919
Mailing address
206 N THOMPSON LN STE A, MURFREESBORO, TN 37129-4333
(615) 624-6919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10359
TBOD
TN
Enumeration date
03/19/2019
Last updated
03/19/2019
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