| Boulevard Dental Pllc | |
|
2280 Fairview Blvd Fairview TN 37062-9048 | |
| (770) 328-9963 | |
| Not Available |
| Full Name | Boulevard Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2280 Fairview Blvd, Fairview, Tennessee |
| Authorized Official Name and Position | Johnna Hayman (OWNER) |
| Authorized Official Contact | 6155446450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulevard Dental Pllc 2280 Fairview Blvd Fairview TN 37062-9048 Ph: (615) 544-6450 | Boulevard Dental Pllc 2280 Fairview Blvd Fairview TN 37062-9048 Ph: (770) 328-9963 |
| NPI Number | 1114865672 |
|---|---|
| Provider Enumeration Date | 03/24/2026 |
| Last Update Date | 04/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114865672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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