| Genesis Dental, Pllc | |
|
24 Liberty Ln Mcminnville TN 37110-3362 | |
| (931) 304-8447 | |
| Not Available |
| Full Name | Genesis Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 24 Liberty Ln, Mcminnville, Tennessee |
| Authorized Official Name and Position | Magi Sargious (DENTIST/OWNER) |
| Authorized Official Contact | 6154817572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Dental, Pllc 6688 Nolensville Rd Ste 108-125 Brentwood TN 37027-8833 Ph: (931) 304-8447 | Genesis Dental, Pllc 24 Liberty Ln Mcminnville TN 37110-3362 Ph: (931) 304-8447 |
| NPI Number | 1225762479 |
|---|---|
| Provider Enumeration Date | 07/13/2022 |
| Last Update Date | 07/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225762479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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