Island Breeze Orthodontics | |
217 Highway 46 Dickson TN 37055-2507 | |
(615) 326-5010 | |
Not Available |
Full Name | Island Breeze Orthodontics |
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Speciality | Clinic/center - Dental |
Location | 217 Highway 46, Dickson, Tennessee |
Authorized Official Name and Position | Keith Payton (OWNER) |
Authorized Official Contact | 6153265010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Island Breeze Orthodontics 1458 Governors Ridge Ct Franklin TN 37064-8933 Ph: (954) 830-1326 | Island Breeze Orthodontics 217 Highway 46 Dickson TN 37055-2507 Ph: (615) 326-5010 |
NPI Number | 1982264701 |
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Provider Enumeration Date | 06/14/2019 |
Last Update Date | 06/14/2019 |
Identifier | Type | State | Issuer |
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1982264701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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