Dr. Amy Pediatric Dentistry | |
2805 Old Fort Pkwy Murfreesboro TN 37128-5115 | |
(615) 987-0505 | |
Not Available |
Full Name | Dr. Amy Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 2805 Old Fort Pkwy, Murfreesboro, Tennessee |
Authorized Official Name and Position | Amy Roeder (PRESIDENT/DENTIST) |
Authorized Official Contact | 6154145994 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr. Amy Pediatric Dentistry 2805 Old Fort Pkwy Suite A Murfreesboro TN 37128-5115 Ph: (615) 987-0505 | Dr. Amy Pediatric Dentistry 2805 Old Fort Pkwy Murfreesboro TN 37128-5115 Ph: (615) 987-0505 |
NPI Number | 1801329917 |
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Provider Enumeration Date | 04/05/2017 |
Last Update Date | 04/05/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801329917 | NPI | - | NPPES |
1526301 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 7891 (Tennessee) | Primary |
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