| Dove Dental - Cordova Llc | |
|
8520 Macon Rd Ste 1 Cordova TN 38018-7147 | |
| (901) 463-2727 | |
| Not Available |
| Full Name | Dove Dental - Cordova Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8520 Macon Rd Ste 1, Cordova, Tennessee |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dove Dental - Cordova Llc 8520 Macon Rd Ste 1 Cordova TN 38018-7147 Ph: (901) 463-2727 | Dove Dental - Cordova Llc 8520 Macon Rd Ste 1 Cordova TN 38018-7147 Ph: (901) 463-2727 |
| NPI Number | 1841950169 |
|---|---|
| Provider Enumeration Date | 12/28/2021 |
| Last Update Date | 12/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841950169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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