| Walling Dental Center | |
|
11765 Mcminnville Hwy Walling TN 38587-5040 | |
| (931) 657-5204 | |
| (931) 657-2134 |
| Full Name | Walling Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11765 Mcminnville Hwy, Walling, Tennessee |
| Authorized Official Name and Position | Melissa Newton (OFFICE MANAGER) |
| Authorized Official Contact | 9316575204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walling Dental Center 11765 Mcminnville Hwy Walling TN 38587-5040 Ph: (931) 657-5204 | Walling Dental Center 11765 Mcminnville Hwy Walling TN 38587-5040 Ph: (931) 657-5204 |
| NPI Number | 1073844338 |
|---|---|
| Provider Enumeration Date | 01/26/2010 |
| Last Update Date | 01/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073844338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS1997 (Tennessee) | Primary |
| 1223G0001X | Dentist - General Practice | DS4172 (Tennessee) | Secondary |