| La Vergne Dental Associates, Pllc | |
|
6001 Jackson Square Blvd Ste 1001 La Vergne TN 37086-2768 | |
| (615) 260-2667 | |
| (615) 280-6615 |
| Full Name | La Vergne Dental Associates, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6001 Jackson Square Blvd Ste 1001, La Vergne, Tennessee |
| Authorized Official Name and Position | Ryan Mark O'neill (OWNER / DENTIST) |
| Authorized Official Contact | 6152802667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Vergne Dental Associates, Pllc 6001 Jackson Square Blvd Ste 1001 La Vergne TN 37086-2768 Ph: (615) 260-2667 | La Vergne Dental Associates, Pllc 6001 Jackson Square Blvd Ste 1001 La Vergne TN 37086-2768 Ph: (615) 260-2667 |
| NPI Number | 1356954838 |
|---|---|
| Provider Enumeration Date | 08/25/2020 |
| Last Update Date | 08/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356954838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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