Phillip Wayne Head SR., DDS CAGS

NPI #1154312437 in Columbia, Tennessee

Provider Information

NPI Number
1154312437
Entity Type
Individual
Name
Phillip Wayne Head SR., DDS CAGS
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - Endodontics
Credential
DDS CAGS
Enumeration Date
Nov 4, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
1324 TROTWOOD AVE
ZIP Code
38401-4750
Phone
(931) 388-5627

Specialties & Taxonomy Codes

Specialty
Dentist - EndodonticsEndodontics

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