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Organization

TENNESSEE DENTAL PROFESSIONALS, PC

Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS, PC
Other names
Admiral Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS, PC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization

Contact information

Practice address
11807 KINGSTON PIKE, FARRAGUT, TN 37934-3809
(865) 672-6541
Mailing address
11807 KINGSTON PIKE, FARRAGUT, TN 37934-3809
(865) 672-6541

Taxonomy

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

Other

Enumeration date
02/12/2021
Last updated
02/12/2021
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