State of Tennessee
NPI #1861709024 in Springfield, Tennessee
Provider Information
- NPI Number
- 1861709024
- Entity Type
- Organization
- Organization Name
- State of Tennessee
- Primary Specialty
- Dentist - Dental Public Health
- Enumeration Date
- Sep 9, 2010
- Last Updated
- Aug 28, 2012
Practice Location
- Address
- 806 SOUTH BROWN STREET
- City
- Springfield
- State
- Tennessee
- ZIP Code
- 37172
- Phone
- (615) 384-4504
Authorized Official
- Name
- MRS. ANNETTE HALEY
- Title
- REGIONAL DIRECTOR
- Phone
- (615) 650-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Public Health — Dental Public Health |
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