Ideal Dental Century Farms Pllc

NPI #1174395974 in Antioch, Tennessee

Provider Information

NPI Number: 1174395974
Entity Type: Organization
Organization Name: Ideal Dental Century Farms Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 25, 2023
Last Updated: Oct 25, 2023

Practice Location

Address: 4222 CENTURY FARMS TER STE 102
City: Antioch
State: Tennessee
ZIP Code: 37013-8901
Phone: (615) 471-5063

Authorized Official

Name: RODNEY ALLES, DDS
Title: OWNER
Phone: (972) 331-8067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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