| Mcro Mobile Dental Unit | |
|
710 Hart Ln Nashville TN 37216-2627 | |
| (615) 650-7000 | |
| (615) 262-6139 |
| Full Name | Mcro Mobile Dental Unit |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 710 Hart Ln, Nashville, Tennessee |
| Authorized Official Name and Position | Annette Haley (REGIONAL DIRECTOR) |
| Authorized Official Contact | 6156507000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcro Mobile Dental Unit 710 Hart Ln Nashville TN 37216-2627 Ph: (615) 650-7000 | Mcro Mobile Dental Unit 710 Hart Ln Nashville TN 37216-2627 Ph: (615) 650-7000 |
| NPI Number | 1720125545 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720125545 | NPI | - | NPPES |
| 4447844 | Medicaid | TN | |
| 014540 | Other | TN | DORAL DENTAL LOCATION ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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