Organization
BARTLETT DENTAL CLINIC II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DOUGLAS THOMAS (PRESIDENT)
(901) 377-5060
Entity
Organization
Contact information
Practice address
6630 SUMMER KNOLL CIRCLE, #103, BARTLETT, TN 38134
(901) 377-5060
(901) 388-0040
Mailing address
6630 SUMMER KNOLL CIRCLE, #103, BARTLETT, TN 38134
(901) 377-5060
(901) 388-0040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2880
TN
1223G0001X
General Practice Dentistry
Primary
4386
TN
Other
Enumeration date
03/01/2007
Last updated
08/17/2011
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