Organization
CASTLE MID SOUTH DENTAL CENTER PC
Active
Other names
Bright Now Dental Hendersonville
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY MATHIS DDS (OWNER)
(615) 238-6730
Entity
Organization
Contact information
Practice address
305 INDIAN LAKE BLVD STE B260, HENDERSONVILLE, TN 37075-6376
(615) 238-6730
Mailing address
8415 DATAPOINT DR STE 1020, SAN ANTONIO, TX 78229-3277
(615) 238-6730
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5344
TN
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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