| Richland Creek Dental Group, Pllc | |
|
210 E Main St Waverly TN 37185-2120 | |
| (931) 296-3882 | |
| Not Available |
| Full Name | Richland Creek Dental Group, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 210 E Main St, Waverly, Tennessee |
| Authorized Official Name and Position | Christina Sandoval (DIRECT OF REVENUE CYCLE) |
| Authorized Official Contact | 6154775815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richland Creek Dental Group, Pllc 3130 Evreux Dr Murfreesboro TN 37129-0206 Ph: (505) 604-4986 | Richland Creek Dental Group, Pllc 210 E Main St Waverly TN 37185-2120 Ph: (931) 296-3882 |
| NPI Number | 1851951156 |
|---|---|
| Provider Enumeration Date | 06/18/2019 |
| Last Update Date | 01/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851951156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |