Richardson Family Dentistry | |
17395 Us Highway 64 Somerville TN 38068-6162 | |
(901) 466-9833 | |
(901) 466-9834 |
Full Name | Richardson Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 17395 Us Highway 64, Somerville, Tennessee |
Authorized Official Name and Position | Athena Michelle Richardson (OWNER) |
Authorized Official Contact | 6622920722 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Richardson Family Dentistry 17395 Us Highway 64 Somerville TN 38068-6162 Ph: (901) 466-9833 | Richardson Family Dentistry 17395 Us Highway 64 Somerville TN 38068-6162 Ph: (901) 466-9833 |
NPI Number | 1255674198 |
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Provider Enumeration Date | 03/28/2013 |
Last Update Date | 03/28/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255674198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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