Tennessee Dental Professionals PC

NPI #1811229719 in Smyrna, Tennessee

Provider Information

NPI Number: 1811229719
Entity Type: Organization
Organization Name: Tennessee Dental Professionals PC
Subpart: Yes (part of a larger organization)
Parent Organization: TENNESSEE DENTAL PROFESSIONALS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 3, 2010
Last Updated: Sep 17, 2014

Practice Location

Address: 315 SAM RIDLEY PKWY W
City: Smyrna
State: Tennessee
ZIP Code: 37167-5625
Phone: (615) 220-3440

Authorized Official

Name: KAM SHICK
Title: INSURANCE COORDINATIOR
Phone: (217) 540-5100

Specialties & Taxonomy Codes

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

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