| Ideal Dental Century Farms Pllc | |
|
4222 Century Farms Ter Ste 102 Antioch TN 37013-8901 | |
| (615) 471-5063 | |
| Not Available |
| Full Name | Ideal Dental Century Farms Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4222 Century Farms Ter Ste 102, Antioch, Tennessee |
| Authorized Official Name and Position | Rodney Alles (OWNER) |
| Authorized Official Contact | 9723318067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Century Farms Pllc Po Box 840925 Dallas TX 75284-0925 Ph: (972) 331-8067 | Ideal Dental Century Farms Pllc 4222 Century Farms Ter Ste 102 Antioch TN 37013-8901 Ph: (615) 471-5063 |
| NPI Number | 1174395974 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 10/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174395974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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