Tennessee Dental Professionals, PC
NPI #1023504701 in Oliver Springs, Tennessee
Provider Information
- NPI Number
- 1023504701
- 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
- Jul 6, 2018
- Last Updated
- Jul 6, 2018
Practice Location
- Address
- 102 BENNETT RD
- City
- Oliver Springs
- State
- Tennessee
- ZIP Code
- 37840-5005
- Phone
- (865) 435-4100
Authorized Official
- Name
- CASSANDRA PETERSEN
- Title
- CREDENTIALING TEAM LEAD
- Phone
- (217) 540-8972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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