| Full Name | Mid Tn Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 616 Bell Rd, Antioch, Tennessee |
| Authorized Official Name and Position | Danny Northcutt (MANAGER) |
| Authorized Official Contact | 6153100022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Tn Dentistry 405 Wild Elm St Franklin TN 37064-8650 Ph: () - | Mid Tn Dentistry 616 Bell Rd Antioch TN 37013-2141 Ph: (615) 208-5432 |
| NPI Number | 1871905604 |
|---|---|
| Provider Enumeration Date | 05/28/2014 |
| Last Update Date | 05/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871905604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Tennessee) | Primary |
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