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545 N Mount Juliet Rd Suite 300 Mount Juliet TN 37122-4416 | |
| (615) 773-0412 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 545 N Mount Juliet Rd, Mount Juliet, Tennessee |
| Authorized Official Name and Position | Kim Wilson (CRED SUPERVISOR) |
| Authorized Official Contact | 6157542295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
545 N Mount Juliet Rd Suite 300 Mount Juliet TN 37122-4416 Ph: (615) 773-0412 | 545 N Mount Juliet Rd Suite 300 Mount Juliet TN 37122-4416 Ph: (615) 773-0412 |
| NPI Number | 1447668546 |
|---|---|
| Provider Enumeration Date | 08/01/2014 |
| Last Update Date | 08/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447668546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Zac Berry Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 E. Hill St., Mount Juliet, TN 37122 Phone: 615-758-2085 | |
West Wilson Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 E Hill Dr, Suite B, Mount Juliet, TN 37122 Phone: 615-773-1150 Fax: 615-773-1110 | |
Simply Smiles, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2788 N. Mt. Juliet, Mount Juliet, TN 37122 Phone: 615-758-4746 | |