| Corey Truman, Dmd, Pllc | |
|
113 Wind Wood Dr Portland TN 37148-2063 | |
| (502) 681-4513 | |
| Not Available |
| Full Name | Corey Truman, Dmd, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 113 Wind Wood Dr, Portland, Tennessee |
| Authorized Official Name and Position | Corey Truman (OWNER) |
| Authorized Official Contact | 5026814513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Truman, Dmd, Pllc 113 Wind Wood Dr Portland TN 37148-2063 Ph: () - | Corey Truman, Dmd, Pllc 113 Wind Wood Dr Portland TN 37148-2063 Ph: (502) 681-4513 |
| NPI Number | 1184370355 |
|---|---|
| Provider Enumeration Date | 02/26/2022 |
| Last Update Date | 02/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184370355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |