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11315 Lebanon Rd Mount Juliet TN 37122 | |
| (270) 839-6608 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11315 Lebanon Rd, Mount Juliet, Tennessee |
| Authorized Official Name and Position | Robert Stephen Boh (PRESIDENT) |
| Authorized Official Contact | 2708396608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3127 Long Blvd Apt 308 Nashville TN 37203-2077 Ph: (270) 839-6608 | 11315 Lebanon Rd Mount Juliet TN 37122 Ph: (270) 839-6608 |
| NPI Number | 1952891798 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 05/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952891798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10219 (Tennessee) | Primary |
Zac Berry Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 E. Hill St., Mount Juliet, TN 37122 Phone: 615-758-2085 | |
West Wilson Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 E Hill Dr, Suite B, Mount Juliet, TN 37122 Phone: 615-773-1150 Fax: 615-773-1110 | |
Simply Smiles, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2788 N. Mt. Juliet, Mount Juliet, TN 37122 Phone: 615-758-4746 | |