| Madison Square Family Dental | |
|
1925 Madison Square Blvd Suite 500 La Vergne TN 37086-4721 | |
| (404) 992-1241 | |
| Not Available |
| Full Name | Madison Square Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1925 Madison Square Blvd, La Vergne, Tennessee |
| Authorized Official Name and Position | Bo Ding (DENTIST/MANAGER) |
| Authorized Official Contact | 4049921241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Square Family Dental 1925 Madison Square Blvd Suite 500 La Vergne TN 37086-4721 Ph: () - | Madison Square Family Dental 1925 Madison Square Blvd Suite 500 La Vergne TN 37086-4721 Ph: (404) 992-1241 |
| NPI Number | 1528517430 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 10/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528517430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10117 (Tennessee) | Primary |
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