Tullahoma Dental Group, Pllc | |
1958 N Jackson St Tullahoma TN 37388-2204 | |
(931) 454-0001 | |
Not Available |
Full Name | Tullahoma Dental Group, Pllc |
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Speciality | Dentist |
Location | 1958 N Jackson St, Tullahoma, Tennessee |
Authorized Official Name and Position | Steven Eric Scallions (OWNER) |
Authorized Official Contact | 9314540001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tullahoma Dental Group, Pllc 1958 N. Jackson St. Tullahoma TN 37388 Ph: (931) 454-0001 | Tullahoma Dental Group, Pllc 1958 N Jackson St Tullahoma TN 37388-2204 Ph: (931) 454-0001 |
NPI Number | 1346474541 |
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Provider Enumeration Date | 05/04/2009 |
Last Update Date | 01/09/2014 |
Identifier | Type | State | Issuer |
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1346474541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4464 (Tennessee) | Secondary |
122300000X | Dentist | 7889 (Tennessee) | Primary |
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Drs. Smith & Fewell, D.d.s.,m.s.,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 S Jackson St, Tullahoma, TN 37388 Phone: 931-455-0146 Fax: 931-393-3863 | |
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