Heritage Endodontics | |
2309 Rudolphtown Rd Ste B Clarksville TN 37043-2228 | |
(931) 259-4400 | |
(931) 259-4401 |
Full Name | Heritage Endodontics |
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Speciality | Dentist - Endodontics |
Location | 2309 Rudolphtown Rd, Clarksville, Tennessee |
Authorized Official Name and Position | Burton A Coleman (OWNER/ENDODONTIST) |
Authorized Official Contact | 9312594400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Heritage Endodontics 2309 Rudolphtown Rd Ste B Clarksville TN 37043-2228 Ph: (931) 259-4400 | Heritage Endodontics 2309 Rudolphtown Rd Ste B Clarksville TN 37043-2228 Ph: (931) 259-4400 |
NPI Number | 1043699796 |
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Provider Enumeration Date | 05/28/2015 |
Last Update Date | 05/28/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043699796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 9567 (Tennessee) | Primary |
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