| Bluegrass Dental, Pllc | |
|
1302 Dow St Murfreesboro TN 37130-2414 | |
| (615) 896-4860 | |
| Not Available |
| Full Name | Bluegrass Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1302 Dow St, Murfreesboro, Tennessee |
| Authorized Official Name and Position | Shaun Michael Bivens (OWNER) |
| Authorized Official Contact | 6159742956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Dental, Pllc 600 Georgetown Dr Nashville TN 37205-2622 Ph: (615) 974-2956 | Bluegrass Dental, Pllc 1302 Dow St Murfreesboro TN 37130-2414 Ph: (615) 896-4860 |
| NPI Number | 1194235176 |
|---|---|
| Provider Enumeration Date | 10/04/2017 |
| Last Update Date | 10/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194235176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8528 (Tennessee) | Primary |
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