| Mary Beth Tabor, Dds Pllc | |
|
107 Maple Row Blvd Hendersonville TN 37075-3853 | |
| (615) 822-5588 | |
| (615) 822-3206 |
| Full Name | Mary Beth Tabor, Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 107 Maple Row Blvd, Hendersonville, Tennessee |
| Authorized Official Name and Position | Dolly Conley (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 6158225588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Beth Tabor, Dds Pllc 107 Maple Row Blvd Hendersonville TN 37075-3853 Ph: (615) 822-5588 | Mary Beth Tabor, Dds Pllc 107 Maple Row Blvd Hendersonville TN 37075-3853 Ph: (615) 822-5588 |
| NPI Number | 1134402894 |
|---|---|
| Provider Enumeration Date | 09/20/2011 |
| Last Update Date | 09/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134402894 | NPI | - | NPPES |
| 9178906 | Medicaid | TN | |
| WE DO NOT HAVE HER # | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS8294 (Tennessee) | Primary |
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