| Heritage Family Dentistry Llc | |
|
11121 Kingston Pike Ste C Farragut TN 37934-2890 | |
| (865) 986-5310 | |
| Not Available |
| Full Name | Heritage Family Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 11121 Kingston Pike Ste C, Farragut, Tennessee |
| Authorized Official Name and Position | Jonathan Paul Bradshaw (OWNER) |
| Authorized Official Contact | 8659865310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Family Dentistry Llc 11121 Kingston Pike Ste C Farragut TN 37934-2890 Ph: (865) 986-5310 | Heritage Family Dentistry Llc 11121 Kingston Pike Ste C Farragut TN 37934-2890 Ph: (865) 986-5310 |
| NPI Number | 1588055438 |
|---|---|
| Provider Enumeration Date | 02/13/2015 |
| Last Update Date | 09/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588055438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS8701 (Tennessee) | Primary |
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