| Bobby Morrison Dds & Barry Pendergrass Dds, Pllc | |
|
1824 Ray Morrison Dr Centerville TN 37033-3000 | |
| (931) 729-3356 | |
| (931) 729-7778 |
| Full Name | Bobby Morrison Dds & Barry Pendergrass Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1824 Ray Morrison Dr, Centerville, Tennessee |
| Authorized Official Name and Position | Bobby R Morrison (MEMBER) |
| Authorized Official Contact | 9317293356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bobby Morrison Dds & Barry Pendergrass Dds, Pllc 1824 Ray Morrison Dr Centerville TN 37033-3000 Ph: (931) 729-3356 | Bobby Morrison Dds & Barry Pendergrass Dds, Pllc 1824 Ray Morrison Dr Centerville TN 37033-3000 Ph: (931) 729-3356 |
| NPI Number | 1578645024 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578645024 | NPI | - | NPPES |
| 0005166 | Other | TN | TENNCARE PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS3110 (Tennessee) | Primary |
Centerville Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 Highway 100, Ste 101, Centerville, TN 37033 Phone: 931-729-2664 Fax: 931-729-2666 |