| Zoo Crew Pediatric Dentistry | |
|
1100 Neal St Ste B Cookeville TN 38501-0900 | |
| (931) 349-7807 | |
| (615) 316-9197 |
| Full Name | Zoo Crew Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1100 Neal St Ste B, Cookeville, Tennessee |
| Authorized Official Name and Position | Jenni Snow (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4044101340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zoo Crew Pediatric Dentistry 1100 Neal St Ste B Cookeville TN 38501-0900 Ph: (931) 349-7807 | Zoo Crew Pediatric Dentistry 1100 Neal St Ste B Cookeville TN 38501-0900 Ph: (931) 349-7807 |
| NPI Number | 1548702244 |
|---|---|
| Provider Enumeration Date | 11/11/2016 |
| Last Update Date | 12/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548702244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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