Soh of Tenneessee Pllc

NPI #1689374845 in Clinton, Tennessee

Provider Information

NPI Number: 1689374845
Entity Type: Organization
Organization Name: Soh of Tenneessee Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: SOH OF TENNEESSEE PLLC
Primary Specialty: Dentist
Enumeration Date: Mar 7, 2023
Last Updated: Mar 7, 2023

Practice Location

Address: 101 MARKET PL
City: Clinton
State: Tennessee
ZIP Code: 37716-3751
Phone: (865) 457-3211

Authorized Official

Name: ASHLY SUNSHINE
Title: CREDENTIALING
Phone: (636) 362-4986

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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