| Castle Mid South Dental Center Pc | |
|
305 Indian Lake Blvd Ste B260 Hendersonville TN 37075-6376 | |
| (615) 238-6730 | |
| Not Available |
| Full Name | Castle Mid South Dental Center Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 305 Indian Lake Blvd Ste B260, Hendersonville, Tennessee |
| Authorized Official Name and Position | Timothy Mathis (OWNER) |
| Authorized Official Contact | 6152386730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Castle Mid South Dental Center Pc 8415 Datapoint Dr Ste 1020 San Antonio TX 78229-3277 Ph: (615) 238-6730 | Castle Mid South Dental Center Pc 305 Indian Lake Blvd Ste B260 Hendersonville TN 37075-6376 Ph: (615) 238-6730 |
| NPI Number | 1902297039 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 02/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902297039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5344 (Tennessee) | Primary |
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