Hermitage Cosmetic and Implant Dentistry Mark H Whitefield DDS Gen Ptr

NPI #1104410497 in Hermitage, Tennessee

Provider Information

NPI Number: 1104410497
Entity Type: Organization
Organization Name: Hermitage Cosmetic and Implant Dentistry Mark H Whitefield DDS Gen Ptr
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 26, 2021
Last Updated: Mar 3, 2021

Practice Location

Address: 4251 LEBANON PIKE
City: Hermitage
State: Tennessee
ZIP Code: 37076-1206
Phone: (615) 889-5545

Authorized Official

Name: MARK WHITEFIELD, DDS
Title: OWNER
Phone: (615) 889-5545

Specialties & Taxonomy Codes

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

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