| Pediatric Dental Centers, Pc | |
|
601 Nw Atlantic St Suite A Tullahoma TN 37388-3536 | |
| (931) 455-8003 | |
| Not Available |
| Full Name | Pediatric Dental Centers, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 601 Nw Atlantic St, Tullahoma, Tennessee |
| Authorized Official Name and Position | Steve R. Lynn (PRESIDENT) |
| Authorized Official Contact | 9314558003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Centers, Pc 601 Nw Atlantic St Suite A Tullahoma TN 37388-3536 Ph: (931) 455-8003 | Pediatric Dental Centers, Pc 601 Nw Atlantic St Suite A Tullahoma TN 37388-3536 Ph: (931) 455-8003 |
| NPI Number | 1063665040 |
|---|---|
| Provider Enumeration Date | 11/04/2008 |
| Last Update Date | 11/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063665040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DS0000005201 (Tennessee) | Primary |
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