| Fesmire Dental Pllc | |
|
106 Cude Ln Madison TN 37115-2202 | |
| (615) 598-8660 | |
| (615) 860-7585 |
| Full Name | Fesmire Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 106 Cude Ln, Madison, Tennessee |
| Authorized Official Name and Position | Kainoa Louise Waterhouse (OFFICE MANAGER) |
| Authorized Official Contact | 6158651733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fesmire Dental Pllc 106 Cude Ln Madison TN 37115-2202 Ph: (615) 598-8660 | Fesmire Dental Pllc 106 Cude Ln Madison TN 37115-2202 Ph: (615) 598-8660 |
| NPI Number | 1154180073 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 03/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154180073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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