| Priest Lake Dental | |
|
3538 Murfreesboro Pike Ste 305 Antioch TN 37013-2578 | |
| (615) 471-4727 | |
| (615) 471-4765 |
| Full Name | Priest Lake Dental |
|---|---|
| Speciality | Dentist |
| Location | 3538 Murfreesboro Pike, Antioch, Tennessee |
| Authorized Official Name and Position | Stanley Aaron Montee (OWNER) |
| Authorized Official Contact | 6154714727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Priest Lake Dental 3538 Murfreesboro Pike Ste 305 Antioch TN 37013-2578 Ph: (615) 471-4727 | Priest Lake Dental 3538 Murfreesboro Pike Ste 305 Antioch TN 37013-2578 Ph: (615) 471-4727 |
| NPI Number | 1811351794 |
|---|---|
| Provider Enumeration Date | 04/07/2016 |
| Last Update Date | 04/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811351794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8290 (Tennessee) | Primary |
| 122300000X | Dentist | 8301 (Tennessee) | Secondary |
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