Tennessee Dental Professionals, PC

NPI #1023572096 in Cleveland, Tennessee

Provider Information

NPI Number: 1023572096
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 24, 2019
Last Updated: Jul 18, 2019

Practice Location

Address: 609 PAUL HUFF PKWY NW
City: Cleveland
State: Tennessee
ZIP Code: 37312-2970
Phone: (423) 244-0783

Authorized Official

Name: JESSICA BRITT
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-5100

Specialties & Taxonomy Codes

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

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