| Aspen Dental | |
|
2153 Gallatin Pike N Madison TN 37115-2003 | |
| (315) 454-6000 | |
| Not Available |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2153 Gallatin Pike N, Madison, Tennessee |
| Authorized Official Name and Position | Mika Weiss (PROVIDER RELATIONS) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Po Box 3189 Syracuse NY 13220-3189 Ph: () - | Aspen Dental 2153 Gallatin Pike N Madison TN 37115-2003 Ph: (315) 454-6000 |
| NPI Number | 1033500186 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 02/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033500186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS0000009160 (Tennessee) | Primary |
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