| Wellspring Orthodontics, Pc | |
|
104 Berrywood Dr Columbia TN 38401-6408 | |
| (866) 771-3535 | |
| Not Available |
| Full Name | Wellspring Orthodontics, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 104 Berrywood Dr, Columbia, Tennessee |
| Authorized Official Name and Position | Jonathan Lucas (OWNER) |
| Authorized Official Contact | 6157713535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Orthodontics, Pc 360 Cool Springs Blvd Suite 102 Franklin TN 37067-7215 Ph: (615) 771-3535 | Wellspring Orthodontics, Pc 104 Berrywood Dr Columbia TN 38401-6408 Ph: (866) 771-3535 |
| NPI Number | 1457524647 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457524647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DS7361 (Tennessee) | Primary |
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