| Lewisburg Family Denistry | |
|
113 The Acres Lewisburg TN 37091-2845 | |
| (931) 359-7004 | |
| (931) 359-0951 |
| Full Name | Lewisburg Family Denistry |
|---|---|
| Speciality | Dentist |
| Location | 113 The Acres, Lewisburg, Tennessee |
| Authorized Official Name and Position | Lynn Beech (CREDENTIALING) |
| Authorized Official Contact | 6153279944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewisburg Family Denistry 113 The Acres Lewisburg TN 37091-2845 Ph: (931) 359-7004 | Lewisburg Family Denistry 113 The Acres Lewisburg TN 37091-2845 Ph: (931) 359-7004 |
| NPI Number | 1760615850 |
|---|---|
| Provider Enumeration Date | 08/24/2009 |
| Last Update Date | 08/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760615850 | NPI | - | NPPES |
| 1512331 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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