| Southern Dental Of Brunswick Pllc | |
|
8755 Chaffee Road Suite 103 Arlington TN 38002 | |
| (901) 382-9704 | |
| Not Available |
| Full Name | Southern Dental Of Brunswick Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8755 Chaffee Road, Arlington, Tennessee |
| Authorized Official Name and Position | William Reynolds Little (OWNER) |
| Authorized Official Contact | 8702434406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Dental Of Brunswick Pllc Po Box 17151 Jonesboro AR 72403-6720 Ph: () - | Southern Dental Of Brunswick Pllc 8755 Chaffee Road Suite 103 Arlington TN 38002 Ph: (901) 382-9704 |
| NPI Number | 1962915959 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 11/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962915959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3930 (Arkansas) | Primary |
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