| Paddock Place Dental | |
|
20 Old Pleasant Grove Road Suite 100 Mount Juliet TN 37122-3880 | |
| (615) 758-4807 | |
| Not Available |
| Full Name | Paddock Place Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20 Old Pleasant Grove Road, Mount Juliet, Tennessee |
| Authorized Official Name and Position | Kam Shick (INSURANCE COORDINATOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paddock Place Dental 20 Old Pleasant Grove Road Suite 100 Mount Juliet TN 37122-3880 Ph: (615) 758-4807 | Paddock Place Dental 20 Old Pleasant Grove Road Suite 100 Mount Juliet TN 37122-3880 Ph: (615) 758-4807 |
| NPI Number | 1023313533 |
|---|---|
| Provider Enumeration Date | 01/13/2011 |
| Last Update Date | 09/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023313533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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