| Total Dental Center | |
|
108 Lifestyle Way Benton TN 37307-3914 | |
| (423) 338-7777 | |
| (423) 338-9326 |
| Full Name | Total Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 108 Lifestyle Way, Benton, Tennessee |
| Authorized Official Name and Position | Lynora Jane Sines (MANAGER) |
| Authorized Official Contact | 4233387777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Dental Center 108 Lifestyle Way Benton TN 37307-3914 Ph: (423) 338-7777 | Total Dental Center 108 Lifestyle Way Benton TN 37307-3914 Ph: (423) 338-7777 |
| NPI Number | 1528239589 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528239589 | NPI | - | NPPES |
| 108283 | Other | TN | DORAL TENNCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2526 (Tennessee) | Primary |
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