Tennessee Dental Professionals, PC

NPI #1861861056 in Smyrna, Tennessee

Provider Information

NPI Number: 1861861056
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: Sep 18, 2015
Last Updated: Sep 18, 2015

Practice Location

Address: 840 NISSAN DRIVE
City: Smyrna
State: Tennessee
ZIP Code: 37167
Phone: (615) 645-0462

Authorized Official

Name: KENDRA WALKER
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-8312

Specialties & Taxonomy Codes

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

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