| Lebanon Dental Care | |
|
1715 W Main St Lebanon TN 37087-3153 | |
| (615) 547-3597 | |
| Not Available |
| Full Name | Lebanon Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 1715 W Main St, Lebanon, Tennessee |
| Authorized Official Name and Position | Allison Varner (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lebanon Dental Care 1715 W Main St Lebanon TN 37087-3153 Ph: (615) 547-3597 | Lebanon Dental Care 1715 W Main St Lebanon TN 37087-3153 Ph: (615) 547-3597 |
| NPI Number | 1013312941 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 11/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013312941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9923 (Tennessee) | Primary |
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