DR. Philip A. Fontenot, DDS

NPI #1184844144 in Hermitage, Tennessee

Provider Information

NPI Number
1184844144
Entity Type
Individual
Name
DR. Philip A. Fontenot, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
May 1, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
4733 ANDREW JACKSON PKWY
Address 2
SUITE 1-A
ZIP Code
37076-1365
Phone
(615) 885-0136

Specialties & Taxonomy Codes

Specialty
Dentist

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