Bluegrass Dental, Pllc
NPI #1194235176 in Murfreesboro, Tennessee
Provider Information
- NPI Number
- 1194235176
- Entity Type
- Organization
- Organization Name
- Bluegrass Dental, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 4, 2017
- Last Updated
- Oct 4, 2017
Practice Location
- Address
- 1302 DOW ST
- City
- Murfreesboro
- State
- Tennessee
- ZIP Code
- 37130-2414
- Phone
- (615) 896-4860
Authorized Official
- Name
- DR. SHAUN MICHAEL BIVENS, DMD
- Title
- OWNER
- Phone
- (615) 974-2956
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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