| Southeastern Dental Of Mt Juliet Pllc | |
|
631 S Mount Juliet Rd Mt Juliet TN 37122-6319 | |
| (615) 754-6677 | |
| (615) 773-5002 |
| Full Name | Southeastern Dental Of Mt Juliet Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 631 S Mount Juliet Rd, Mt Juliet, Tennessee |
| Authorized Official Name and Position | Vickie Metcalf (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 6155683258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Dental Of Mt Juliet Pllc 631 S Mount Juliet Rd Mt Juliet TN 37122-6319 Ph: (615) 754-6677 | Southeastern Dental Of Mt Juliet Pllc 631 S Mount Juliet Rd Mt Juliet TN 37122-6319 Ph: (615) 754-6677 |
| NPI Number | 1568021285 |
|---|---|
| Provider Enumeration Date | 06/06/2019 |
| Last Update Date | 06/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568021285 | NPI | - | NPPES |
| 1164592226 | Other | DARREN FOSTER, DDS | |
| 1700203007 | Other | R. W. ARCHER | |
| 1932652302 | Other | KINJAL VORA, DDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
R. Corey Jackson Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2365 N Mount Juliet Rd, Mt Juliet, TN 37122 Phone: 615-754-5840 | |
Witherow Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1323 Clearview Dr, Mt Juliet, TN 37122 Phone: 615-754-2027 | |
Jackson Dental Alliance, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 W Caldwell St Ste 202, Mt Juliet, TN 37122 Phone: 615-758-7511 | |
Mt. Juliet Dental Studio Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Old Pleasant Grove Rd Ste 100, Mt Juliet, TN 37122 Phone: 615-970-2300 | |
Restoration Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1984 Providence Pkwy Ste 200, Mt Juliet, TN 37122 Phone: 615-257-7723 | |
Dr Rickland M Willey Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1097 Weston Dr, Mt Juliet, TN 37122 Phone: 615-758-7745 Fax: 615-758-7745 |