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2395 New Salem Hwy Suite L Murfreesboro TN 37128-5254 | |
| (615) 907-3456 | |
| (615) 907-3848 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2395 New Salem Hwy, Murfreesboro, Tennessee |
| Authorized Official Name and Position | Mark Allen Connolly (PRESIDENT) |
| Authorized Official Contact | 6159073456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2395 New Salem Hwy Suite L Murfreesboro TN 37128-5254 Ph: (615) 907-3456 | 2395 New Salem Hwy Suite L Murfreesboro TN 37128-5254 Ph: (615) 907-3456 |
| NPI Number | 1477880490 |
|---|---|
| Provider Enumeration Date | 11/12/2009 |
| Last Update Date | 11/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477880490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8779 (Tennessee) | Primary |
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