| |
1110 W Clark Blvd Murfreesboro TN 37129-2340 | |
(615) 893-8771 | |
(615) 893-8781 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1110 W Clark Blvd, Murfreesboro, Tennessee |
Authorized Official Name and Position | Walter C. Chitwood (OWNER/ DENTIST) |
Authorized Official Contact | 6158938771 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1110 W Clark Blvd Murfreesboro TN 37129-2340 Ph: (615) 893-8771 | 1110 W Clark Blvd Murfreesboro TN 37129-2340 Ph: (615) 893-8771 |
NPI Number | 1235681552 |
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Provider Enumeration Date | 11/03/2016 |
Last Update Date | 11/03/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235681552 | NPI | - | NPPES |
1679691992 | Other | TN | NPI |
1457729774 | Other | TN | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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Perry Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Greenland Dr, Murfreesboro, TN 37130 Phone: 615-896-3360 Fax: 616-589-6105 | |
Rox Dental Partners, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2706 Old Fort Pkwy Ste E, Murfreesboro, TN 37128 Phone: 615-624-6299 | |
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