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5226 Airline Rd, 121 Arlington TN 38002 | |
| (901) 329-0999 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5226 Airline Rd,, Arlington, Tennessee |
| Authorized Official Name and Position | Haley Wooster (ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 7127338551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5226 Airline Rd Arlington TN 38002-9579 Ph: () - | 5226 Airline Rd, 121 Arlington TN 38002 Ph: (901) 329-0999 |
| NPI Number | 1346750619 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 11/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346750619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9732 (Tennessee) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Southern Dental Of Brunswick Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8755 Chaffee Road, Suite 103, Arlington, TN 38002 Phone: 901-382-9704 | |