Heritage Family Dentistry LLC

NPI #1588055438 in Farragut, Tennessee

Provider Information

NPI Number: 1588055438
Entity Type: Organization
Organization Name: Heritage Family Dentistry LLC
Primary Specialty: Dentist
Enumeration Date: Feb 13, 2015
Last Updated: Sep 8, 2023

Practice Location

Address: 11121 KINGSTON PIKE STE C
City: Farragut
State: Tennessee
ZIP Code: 37934-2890
Phone: (865) 986-5310

Authorized Official

Name: JONATHAN PAUL BRADSHAW, DDS
Title: OWNER
Phone: (865) 986-5310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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