Tennessee Dental Professionals PC

NPI #1275931958 in White House, Tennessee

Provider Information

NPI Number: 1275931958
Entity Type: Organization
Organization Name: Tennessee Dental Professionals PC
Subpart: Yes (part of a larger organization)
Parent Organization: TENNESSEE DENTAL PROFESSIONALS PC
Primary Specialty: Dentist
Enumeration Date: Dec 12, 2014
Last Updated: Dec 12, 2014

Practice Location

Address: 301 WHITE HOUSE CROSSING WAY, STE. B
City: White House
State: Tennessee
ZIP Code: 37188-1400
Phone: (855) 233-0431

Authorized Official

Name: JASMINE REARDON
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-8330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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DR. Jonathan D Griffin, DDS	Dentist	White House	AI Deep Dive
Kolby Gage Gregory	Dentist	White House	AI Deep Dive
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Organizations

Provider Name	Specialty	City
White House Dental, Pllc	Dentist	White House	AI Deep Dive

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