| Cane Ridge Dentist | |
|
1315 Bell Road Antioch TN 37013-3077 | |
| (615) 717-0507 | |
| Not Available |
| Full Name | Cane Ridge Dentist |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1315 Bell Road, Antioch, Tennessee |
| Authorized Official Name and Position | All Cred (INSURANCE/CREDENTIALING) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cane Ridge Dentist 1315 Bell Road Antioch TN 37013-3077 Ph: (615) 717-0507 | Cane Ridge Dentist 1315 Bell Road Antioch TN 37013-3077 Ph: (615) 717-0507 |
| NPI Number | 1578892915 |
|---|---|
| Provider Enumeration Date | 12/14/2009 |
| Last Update Date | 10/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578892915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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