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9775 Highway 64 Ste 101 Arlington TN 38002-8587 | |
| (512) 663-7611 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 9775 Highway 64 Ste 101, Arlington, Tennessee |
| Authorized Official Name and Position | Danielle Davis (MEMBER/DENTIST) |
| Authorized Official Contact | 9012350709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9775 Highway 64 Ste 101 Arlington TN 38002-8587 Ph: (901) 235-0709 | 9775 Highway 64 Ste 101 Arlington TN 38002-8587 Ph: (512) 663-7611 |
| NPI Number | 1982108759 |
|---|---|
| Provider Enumeration Date | 03/19/2018 |
| Last Update Date | 04/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982108759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10530 (Tennessee) | Primary |
Southern Dental Of Brunswick Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8755 Chaffee Road, Suite 103, Arlington, TN 38002 Phone: 901-382-9704 |