Bivens Dental Group PC

NPI #1871747832 in Lyles, Tennessee

Provider Information

NPI Number
1871747832
Entity Type
Organization
Organization Name
Bivens Dental Group PC
Subpart
Yes (part of a larger organization)
Parent Organization
BIVENS DENTAL GROUP PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 4, 2008
Last Updated
Nov 5, 2008

Practice Location

Address
5103 HIGHWAY 100
City
Lyles
ZIP Code
37098-1879
Phone
(931) 670-5961

Authorized Official

Name
DARRYL A BIVENS, DDS
Title
DENTIST
Phone
(931) 670-5961

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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