Antioch Dental Pllc

NPI #1871905604 in Antioch, Tennessee

Provider Information

NPI Number: 1871905604
Entity Type: Organization
Organization Name: Antioch Dental Pllc
Primary Specialty: Dentist
Enumeration Date: May 28, 2014
Last Updated: May 28, 2014

Practice Location

Address: 616 BELL RD
City: Antioch
State: Tennessee
ZIP Code: 37013-2141
Phone: (615) 208-5432

Authorized Official

Name: MR. DANNY NORTHCUTT JR.
Title: MANAGER
Phone: (615) 310-0022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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