Pediatric Dental Care | |
20 W Main St Savannah TN 38372-2334 | |
(731) 925-5555 | |
(731) 925-0365 |
Full Name | Pediatric Dental Care |
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Speciality | Dentist - Pediatric Dentistry |
Location | 20 W Main St, Savannah, Tennessee |
Authorized Official Name and Position | Morris D Alexander (OWNER) |
Authorized Official Contact | 7319255555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pediatric Dental Care 20 W Main St Savannah TN 38372-2334 Ph: (731) 925-5555 | Pediatric Dental Care 20 W Main St Savannah TN 38372-2334 Ph: (731) 925-5555 |
NPI Number | 1992926463 |
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Provider Enumeration Date | 05/01/2007 |
Last Update Date | 06/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992926463 | NPI | - | NPPES |
3224758 | Medicaid | TN | |
28753 | Other | TN | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DS002940 (Tennessee) | Primary |