Southeastern Dental of Mt Juliet Pllc

NPI #1568021285 in Mt Juliet, Tennessee

Provider Information

NPI Number
1568021285
Entity Type
Organization
Organization Name
Southeastern Dental of Mt Juliet Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 6, 2019
Last Updated
Jun 6, 2019

Practice Location

Address
631 S MOUNT JULIET RD
ZIP Code
37122-6319
Phone
(615) 754-6677

Authorized Official

Name
VICKIE METCALF
Title
PRACTICE ADMINISTRATOR
Phone
(615) 568-3258

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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