| Southeastern Dental Pllc | |
|
117 Gallatin Pike N Madison TN 37115-3701 | |
| (615) 868-6177 | |
| Not Available |
| Full Name | Southeastern Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 117 Gallatin Pike N, Madison, Tennessee |
| Authorized Official Name and Position | Vickie J 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 Pllc 117 Gallatin Pike N Madison TN 37115-3701 Ph: (615) 868-6177 | Southeastern Dental Pllc 117 Gallatin Pike N Madison TN 37115-3701 Ph: (615) 868-6177 |
| NPI Number | 1386209849 |
|---|---|
| Provider Enumeration Date | 05/09/2019 |
| Last Update Date | 05/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386209849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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