| Elite Dental Care Eads | |
|
3159 Highway 64 Ste 100 Eads TN 38028-3322 | |
| (901) 465-2382 | |
| Not Available |
| Full Name | Elite Dental Care Eads |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3159 Highway 64 Ste 100, Eads, Tennessee |
| Authorized Official Name and Position | Clint Buchanan (OWNER) |
| Authorized Official Contact | 7318551053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental Care Eads 2066 Us Highway 45 Byp S Trenton TN 38382-3507 Ph: (731) 855-1053 | Elite Dental Care Eads 3159 Highway 64 Ste 100 Eads TN 38028-3322 Ph: (901) 465-2382 |
| NPI Number | 1609454867 |
|---|---|
| Provider Enumeration Date | 03/30/2021 |
| Last Update Date | 03/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609454867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Lighthouse Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3159 Highway 64 Ste 100, Eads, TN 38028 Phone: 901-465-2382 |