| Tennessee Dental Professionals, Pc | |
|
350 Highway 109 N Lebanon TN 37090-1201 | |
| (615) 549-5778 | |
| (615) 549-5662 |
| Full Name | Tennessee Dental Professionals, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 350 Highway 109 N, Lebanon, 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 |
|---|---|
| Tennessee Dental Professionals, Pc 350 Highway 109 N Lebanon TN 37090-1201 Ph: (615) 549-5778 | Tennessee Dental Professionals, Pc 350 Highway 109 N Lebanon TN 37090-1201 Ph: (615) 549-5778 |
| NPI Number | 1265216956 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265216956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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