Tennessee Dental Professionals PC
NPI #1023313533 in Mount Juliet, Tennessee
Provider Information
- NPI Number
- 1023313533
- Entity Type
- Organization
- Organization Name
- Tennessee Dental Professionals PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TENNESSEE DENTAL PROFESSIONALS PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 13, 2011
- Last Updated
- Sep 17, 2014
Practice Location
- Address
- 20 OLD PLEASANT GROVE ROAD
- Address 2
- SUITE 100
- City
- Mount Juliet
- State
- Tennessee
- ZIP Code
- 37122-3880
- Phone
- (615) 758-4807
Authorized Official
- Name
- KAM SHICK
- Title
- INSURANCE COORDINATOR
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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