Southeastern Dental Pllc | |
117 Gallatin Pike N Madison TN 37115-3701 | |
(615) 868-6177 | |
Not Available |
Full Name | Southeastern Dental Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 117 Gallatin Pike N, Madison, Tennessee |
Authorized Official Name and Position | Vickie J Metcalf (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 6155683258 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southeastern Dental Pllc 117 Gallatin Pike N Madison TN 37115-3701 Ph: (615) 868-6177 | Southeastern Dental Pllc 117 Gallatin Pike N Madison TN 37115-3701 Ph: (615) 868-6177 |
NPI Number | 1386209849 |
---|---|
Provider Enumeration Date | 05/09/2019 |
Last Update Date | 05/09/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386209849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
News Archive
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