| Legacy Family Dental | |
|
2805 Old Fort Pkwy Suite A Murfreesboro TN 37128-5115 | |
| (615) 867-1735 | |
| (615) 895-9441 |
| Full Name | Legacy Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 2805 Old Fort Pkwy, Murfreesboro, Tennessee |
| Authorized Official Name and Position | Jamie A Grider (DENTIST/OWNER) |
| Authorized Official Contact | 6158671735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Family Dental 2805 Old Fort Pkwy Suite A Murfreesboro TN 37128-5115 Ph: (615) 867-1735 | Legacy Family Dental 2805 Old Fort Pkwy Suite A Murfreesboro TN 37128-5115 Ph: (615) 867-1735 |
| NPI Number | 1336528207 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 05/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336528207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8431 (Tennessee) | Primary |
| 122300000X | Dentist | 10050 (Tennessee) | Secondary |
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