| Renfroe Family Dental | |
|
311 Spring St Dover TN 37058-3227 | |
| (931) 232-7105 | |
| (931) 232-2242 |
| Full Name | Renfroe Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 311 Spring St, Dover, Tennessee |
| Authorized Official Name and Position | Jordan Davis (OFFICE MANAGER) |
| Authorized Official Contact | 9312327105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renfroe Family Dental Po Box 538 Dover TN 37058-0538 Ph: (931) 232-7105 | Renfroe Family Dental 311 Spring St Dover TN 37058-3227 Ph: (931) 232-7105 |
| NPI Number | 1104310895 |
|---|---|
| Provider Enumeration Date | 06/18/2018 |
| Last Update Date | 06/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104310895 | NPI | - | NPPES |
| 4274444 | Other | TN | BLUE CROSS BLUE SHIELD OF TENNESSEE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9114 (Tennessee) | Primary |