| Acacia Dental Group, Pllc | |
|
102 Wessington Pl Suite B Hendersonville TN 37075-3085 | |
| (615) 822-2214 | |
| (615) 822-6519 |
| Full Name | Acacia Dental Group, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 102 Wessington Pl, Hendersonville, Tennessee |
| Authorized Official Name and Position | Angela Wilburn Southwell (DENTIST) |
| Authorized Official Contact | 6158222214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acacia Dental Group, Pllc 102 Wessington Pl Suite B Hendersonville TN 37075-3085 Ph: (615) 822-2214 | Acacia Dental Group, Pllc 102 Wessington Pl Suite B Hendersonville TN 37075-3085 Ph: (615) 822-2214 |
| NPI Number | 1942745963 |
|---|---|
| Provider Enumeration Date | 12/29/2016 |
| Last Update Date | 02/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942745963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8834 (Tennessee) | Primary |
Hendersonville Imperial Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 537 E. Main St., Hendersonville, TN 37075 Phone: 615-822-0833 Fax: 615-590-7943 | |
Hendersonville Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 394 East Main Street, Suite 12, Hendersonville, TN 37075 Phone: 615-554-6019 | |
James M. Rollins, D.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 394 West Main Street B-3, Hendersonville, TN 37075 Phone: 615-824-9774 Fax: 615-826-1693 | |
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