| Tibbs Family Dentistry, Pllc | |
|
5114 Old Hickory Blvd Ste 200 Hermitage TN 37076-2590 | |
| (615) 540-0556 | |
| Not Available |
| Full Name | Tibbs Family Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5114 Old Hickory Blvd Ste 200, Hermitage, Tennessee |
| Authorized Official Name and Position | Jeremy Tibbs (OWNER) |
| Authorized Official Contact | 6155400556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tibbs Family Dentistry, Pllc 1000 Thorn Hill Ct Hendersonville TN 37075-9613 Ph: () - | Tibbs Family Dentistry, Pllc 5114 Old Hickory Blvd Ste 200 Hermitage TN 37076-2590 Ph: (615) 540-0556 |
| NPI Number | 1790326072 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 10/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790326072 | NPI | - | NPPES |
| 1532725 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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