Dekalb Dental Center Pllc

NPI #1700452026 in Smithville, Tennessee

Provider Information

NPI Number: 1700452026
Entity Type: Organization
Organization Name: Dekalb Dental Center Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: DEKALB DENTAL CENTER PLLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 27, 2021
Last Updated: May 27, 2021

Practice Location

Address: 201 S 3RD ST
City: Smithville
State: Tennessee
ZIP Code: 37166-1712
Phone: (615) 597-4798

Authorized Official

Name: MITCHELL SCOTT TATUM, DDS
Title: OWNER
Phone: (615) 597-4798

Specialties & Taxonomy Codes

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

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