Aspen Dental | |
2153 Gallatin Pike N Madison TN 37115-2003 | |
(315) 454-6000 | |
Not Available |
Full Name | Aspen Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 2153 Gallatin Pike N, Madison, Tennessee |
Authorized Official Name and Position | Mika Weiss (PROVIDER RELATIONS) |
Authorized Official Contact | 3154546000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aspen Dental Po Box 3189 Syracuse NY 13220-3189 Ph: () - | Aspen Dental 2153 Gallatin Pike N Madison TN 37115-2003 Ph: (315) 454-6000 |
NPI Number | 1033500186 |
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Provider Enumeration Date | 02/11/2015 |
Last Update Date | 02/11/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033500186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS0000009160 (Tennessee) | Primary |
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