Tw New Dentistry, Pllc | |
1911 Cook St Dyersburg TN 38024-1882 | |
(731) 286-0053 | |
Not Available |
Full Name | Tw New Dentistry, Pllc |
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Speciality | Clinic/center - Dental |
Location | 1911 Cook St, Dyersburg, Tennessee |
Authorized Official Name and Position | Will Pack (CONTROLLER) |
Authorized Official Contact | 9312478102 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tw New Dentistry, Pllc 1911 Cook St Dyersburg TN 38024-1882 Ph: (731) 286-0053 | Tw New Dentistry, Pllc 1911 Cook St Dyersburg TN 38024-1882 Ph: (731) 286-0053 |
NPI Number | 1457057903 |
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Provider Enumeration Date | 02/06/2023 |
Last Update Date | 02/06/2023 |
Identifier | Type | State | Issuer |
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1457057903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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