DR. Samuel Keith Tedford, DMD

NPI #1053326157 in Cleveland, Tennessee

Provider Information

NPI Number: 1053326157
Entity Type: Individual
Name: DR. Samuel Keith Tedford, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 115 INTERSTATE DR NW
City: Cleveland
State: Tennessee
ZIP Code: 37312-2642
Phone: (423) 479-6005

Specialties & Taxonomy Codes

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

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