| Dynamic Dentistry Llc | |
|
24 Liberty Ln Mcminnville TN 37110-3362 | |
| (931) 474-1329 | |
| (931) 474-1330 |
| Full Name | Dynamic Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 24 Liberty Ln, Mcminnville, Tennessee |
| Authorized Official Name and Position | John Amburgey (PRESIDENT) |
| Authorized Official Contact | 9314741329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Dentistry Llc Po Box 191 Mcminnville TN 37111-0191 Ph: (931) 474-1329 | Dynamic Dentistry Llc 24 Liberty Ln Mcminnville TN 37110-3362 Ph: (931) 474-1329 |
| NPI Number | 1740554518 |
|---|---|
| Provider Enumeration Date | 02/27/2012 |
| Last Update Date | 05/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740554518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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