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Organization

TENNESSEE DENTAL PROFESSIONALS, PC

Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS, PC
Other names
DentalCares - Cordova
Organization subpart
Yes

Provider details

NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS, PC
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization

Contact information

Practice address
1890 N GERMANTOWN PKWY STE 105, CORDOVA, TN 38016-3325
(901) 753-2273
Mailing address
1890 N GERMANTOWN PKWY STE 105, CORDOVA, TN 38016-3325
(901) 753-2273

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/16/2020
Last updated
03/30/2021
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