Organization
HERITAGE PARK ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE ARANG KIM-PARK (ENDODONTIST)
(615) 896-3686
Entity
Organization
Contact information
Practice address
538 BRANDIES CIR, STE 105, MURFREESBORO, TN 37128-7698
(615) 896-3686
(615) 896-3645
Mailing address
538 BRANDIES CIR, STE 105, MURFREESBORO, TN 37128-7698
(615) 896-3686
(615) 896-3645
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7586
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760506091
INDIVIDUAL NATIONAL PROVIDER ID
TN
Enumeration date
03/25/2014
Last updated
03/25/2014
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