| Aharrisdental | |
|
809 Hamilton Xing Antioch TN 37013-8408 | |
| (615) 942-6898 | |
| (615) 942-8670 |
| Full Name | Aharrisdental |
|---|---|
| Speciality | Dentist |
| Location | 809 Hamilton Xing, Antioch, Tennessee |
| Authorized Official Name and Position | Andrew Harris (OWNER) |
| Authorized Official Contact | 6159426898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aharrisdental 809 Hamilton Xing Antioch TN 37013-8408 Ph: (615) 942-6898 | Aharrisdental 809 Hamilton Xing Antioch TN 37013-8408 Ph: (615) 942-6898 |
| NPI Number | 1568732774 |
|---|---|
| Provider Enumeration Date | 01/04/2012 |
| Last Update Date | 01/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568732774 | NPI | - | NPPES |
| 5440162 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS7452 (Tennessee) | Primary |
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