| Periodontal Care Center, Pllc | |
|
100 Springhouse Ct Suite 220 Hendersonville TN 37075-1609 | |
| (615) 264-6404 | |
| Not Available |
| Full Name | Periodontal Care Center, Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 100 Springhouse Ct, Hendersonville, Tennessee |
| Authorized Official Name and Position | Jean-max Jean-pierre (OWNER) |
| Authorized Official Contact | 6152646404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Care Center, Pllc 100 Springhouse Ct Suite 220 Hendersonville TN 37075-1609 Ph: (615) 264-6404 | Periodontal Care Center, Pllc 100 Springhouse Ct Suite 220 Hendersonville TN 37075-1609 Ph: (615) 264-6404 |
| NPI Number | 1659668226 |
|---|---|
| Provider Enumeration Date | 07/05/2011 |
| Last Update Date | 03/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659668226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 8167 (Tennessee) | Primary |
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