Blue Ribbon Dental Center LLC
NPI #1366614588 in Tiptonville, Tennessee
Provider Information
- NPI Number
- 1366614588
- Entity Type
- Organization
- Organization Name
- Blue Ribbon Dental Center LLC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Mar 27, 2008
- Last Updated
- Mar 27, 2008
Practice Location
- Address
- 211 CHURCH ST
- City
- Tiptonville
- State
- Tennessee
- ZIP Code
- 38079-1109
- Phone
- (731) 253-9091
Authorized Official
- Name
- DR. DENEAN RESHAY CARR
- Title
- DENTIST
- Phone
- (731) 253-9091
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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