Cane Ridge Dentist | |
1315 Bell Road Antioch TN 37013-3077 | |
(615) 717-0507 | |
Not Available |
Full Name | Cane Ridge Dentist |
---|---|
Speciality | Dentist - General Practice |
Location | 1315 Bell Road, Antioch, Tennessee |
Authorized Official Name and Position | All Cred (INSURANCE/CREDENTIALING) |
Authorized Official Contact | 2175402100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cane Ridge Dentist 1315 Bell Road Antioch TN 37013-3077 Ph: (615) 717-0507 | Cane Ridge Dentist 1315 Bell Road Antioch TN 37013-3077 Ph: (615) 717-0507 |
NPI Number | 1578892915 |
---|---|
Provider Enumeration Date | 12/14/2009 |
Last Update Date | 10/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578892915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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