Southern Dental of Munford Pllc

NPI #1558814178 in Munford, Tennessee

Provider Information

NPI Number: 1558814178
Entity Type: Organization
Organization Name: Southern Dental of Munford Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 1, 2016
Last Updated: Aug 1, 2016

Practice Location

Address: 1461 MUNFORD AVE
City: Munford
State: Tennessee
ZIP Code: 38058-6743
Phone: (901) 837-6868

Authorized Official

Name: DR. WILLIAM REYNOLDS LITTLE, DDS
Title: OWNER
Phone: (870) 972-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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