| Spark Dental Tn, Pllc | |
|
1540 Rock Springs Rd Smyrna TN 37167-6141 | |
| (615) 930-3718 | |
| (615) 625-3473 |
| Full Name | Spark Dental Tn, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1540 Rock Springs Rd, Smyrna, Tennessee |
| Authorized Official Name and Position | Carol Lynn Goings (REGIONAL MANAGER) |
| Authorized Official Contact | 6154787166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Dental Tn, Pllc 1540 Rock Springs Rd Smyrna TN 37167-6141 Ph: (615) 930-3718 | Spark Dental Tn, Pllc 1540 Rock Springs Rd Smyrna TN 37167-6141 Ph: (615) 930-3718 |
| NPI Number | 1154087120 |
|---|---|
| Provider Enumeration Date | 11/13/2021 |
| Last Update Date | 03/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154087120 | NPI | - | NPPES |
| Q070323 | Medicaid | TN |
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