| Cavity Commando's Dentistry For Kids Pllc | |
|
1265 Interstate Dr Ste 101 Cookeville TN 38501-5198 | |
| (931) 783-1491 | |
| Not Available |
| Full Name | Cavity Commando's Dentistry For Kids Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1265 Interstate Dr Ste 101, Cookeville, Tennessee |
| Authorized Official Name and Position | Landon Scott Sears (OWNER) |
| Authorized Official Contact | 6106087019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cavity Commando's Dentistry For Kids Pllc 3480 Nw 85th Ct Apt 116 Doral FL 33122-1958 Ph: () - | Cavity Commando's Dentistry For Kids Pllc 1265 Interstate Dr Ste 101 Cookeville TN 38501-5198 Ph: (931) 783-1491 |
| NPI Number | 1215592340 |
|---|---|
| Provider Enumeration Date | 05/03/2019 |
| Last Update Date | 05/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215592340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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