Dekalb Dental Center Pllc | |
201 S 3rd St Smithville TN 37166-1712 | |
(615) 597-4798 | |
Not Available |
Full Name | Dekalb Dental Center Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 201 S 3rd St, Smithville, Tennessee |
Authorized Official Name and Position | Mitchell Scott Tatum (OWNER) |
Authorized Official Contact | 6155974798 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dekalb Dental Center Pllc 201 S 3rd St Smithville TN 37166-1712 Ph: (615) 597-4798 | Dekalb Dental Center Pllc 201 S 3rd St Smithville TN 37166-1712 Ph: (615) 597-4798 |
NPI Number | 1700452026 |
---|---|
Provider Enumeration Date | 05/27/2021 |
Last Update Date | 05/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700452026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |