| Phyllis Dickinson-branch | |
|
17395 Us Highway 64 Somerville TN 38068-6162 | |
| (901) 466-9833 | |
| (901) 466-9834 |
| Full Name | Phyllis Dickinson-branch |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17395 Us Highway 64, Somerville, Tennessee |
| Authorized Official Name and Position | Pyllis A Dickinson-branch (DENTIST/OWNER) |
| Authorized Official Contact | 9014669833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis Dickinson-branch 17395 Us Highway 64 Somerville TN 38068-6162 Ph: (901) 466-9833 | Phyllis Dickinson-branch 17395 Us Highway 64 Somerville TN 38068-6162 Ph: (901) 466-9833 |
| NPI Number | 1649034281 |
|---|---|
| Provider Enumeration Date | 02/13/2024 |
| Last Update Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649034281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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