Legacy Hill Dentistry

NPI #1003151390 in Smyrna, Tennessee

Provider Information

NPI Number: 1003151390
Entity Type: Organization
Organization Name: Legacy Hill Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 28, 2012
Last Updated: Nov 28, 2012

Practice Location

Address: 526 LEGACY DR
City: Smyrna
State: Tennessee
ZIP Code: 37167-6750
Phone: (615) 459-8050

Authorized Official

Name: DR. RICKY DALE RUSSELL, DDS
Title: OWNER
Phone: (615) 459-8050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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