| Pickwick Family Dentalk Care , Inc. | |
|
25 Old South Rd Ste 120 Counce TN 38326-4211 | |
| (731) 689-3627 | |
| (731) 689-3628 |
| Full Name | Pickwick Family Dentalk Care , Inc. |
|---|---|
| Speciality | Dentist |
| Location | 25 Old South Rd, Counce, Tennessee |
| Authorized Official Name and Position | Donald Gavin Walley (OWNER/DENTIST) |
| Authorized Official Contact | 7316893627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pickwick Family Dentalk Care , Inc. Po Box 285 Counce TN 38326-0285 Ph: (731) 689-3627 | Pickwick Family Dentalk Care , Inc. 25 Old South Rd Ste 120 Counce TN 38326-4211 Ph: (731) 689-3627 |
| NPI Number | 1518407329 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 02/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518407329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS4675 (Tennessee) | Primary |