Tooth Extraction Clinic | |
264 New Shackle Island Rd Ste 105a Hendersonville TN 37075-2482 | |
(615) 447-5011 | |
Not Available |
Full Name | Tooth Extraction Clinic |
---|---|
Speciality | Clinic/center - Dental |
Location | 264 New Shackle Island Rd Ste 105a, Hendersonville, Tennessee |
Authorized Official Name and Position | Johnny Williams (COO) |
Authorized Official Contact | 6154475011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tooth Extraction Clinic 264 New Shackle Island Rd Ste 105a Hendersonville TN 37075-2482 Ph: (615) 447-5011 | Tooth Extraction Clinic 264 New Shackle Island Rd Ste 105a Hendersonville TN 37075-2482 Ph: (615) 447-5011 |
NPI Number | 1568120160 |
---|---|
Provider Enumeration Date | 12/01/2021 |
Last Update Date | 12/01/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568120160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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