| Blackman Grove Dental | |
|
4183 Franklin Rd Suite B5 Murfreesboro TN 37128-4254 | |
| (615) 907-4746 | |
| (615) 907-4796 |
| Full Name | Blackman Grove Dental |
|---|---|
| Speciality | Dentist |
| Location | 4183 Franklin Rd, Murfreesboro, Tennessee |
| Authorized Official Name and Position | Shawn Foster (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 6159074746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackman Grove Dental 4183 Franklin Rd Suite B5 Murfreesboro TN 37128-4254 Ph: (615) 907-4746 | Blackman Grove Dental 4183 Franklin Rd Suite B5 Murfreesboro TN 37128-4254 Ph: (615) 907-4746 |
| NPI Number | 1043685456 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 12/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043685456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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