Centerville Dental

NPI #1174881965 in Centerville, Tennessee

Provider Information

NPI Number
1174881965
Entity Type
Organization
Organization Name
Centerville Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 30, 2012
Last Updated
Apr 30, 2012

Practice Location

Address
704 HIGHWAY 100
Address 2
STE 101
ZIP Code
37033-1171
Phone
(931) 729-2664

Authorized Official

Name
DR. JAMIE M LEE, DDS
Title
OWNER
Phone
(931) 729-2664

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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