| Treasure Island Pediatric Dentistry | |
|
1900 Medical Center Parkway 110 Murfreesboro TN 37129 | |
| (931) 444-5437 | |
| Not Available |
| Full Name | Treasure Island Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1900 Medical Center Parkway, Murfreesboro, Tennessee |
| Authorized Official Name and Position | Lisa K Paul (PRACTICE MANAGER) |
| Authorized Official Contact | 9316980200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Island Pediatric Dentistry 4119 Scott Hollow Rd Culleoka TN 38451-3108 Ph: (931) 444-5437 | Treasure Island Pediatric Dentistry 1900 Medical Center Parkway 110 Murfreesboro TN 37129 Ph: (931) 444-5437 |
| NPI Number | 1841822301 |
|---|---|
| Provider Enumeration Date | 02/12/2020 |
| Last Update Date | 02/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841822301 | NPI | - | NPPES |
| Q001715 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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