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5261 Airline Rd Ste 102 Arlington TN 38002-4267 | |
| (901) 290-0885 | |
| (901) 290-0871 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5261 Airline Rd, Arlington, Tennessee |
| Authorized Official Name and Position | Belinda Huerta (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5261 Airline Rd Ste 102 Arlington TN 38002-4267 Ph: (901) 290-0885 | 5261 Airline Rd Ste 102 Arlington TN 38002-4267 Ph: (901) 290-0885 |
| NPI Number | 1609653260 |
|---|---|
| Provider Enumeration Date | 09/08/2023 |
| Last Update Date | 01/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609653260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Southern Dental Of Brunswick Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8755 Chaffee Road, Suite 103, Arlington, TN 38002 Phone: 901-382-9704 | |