| Marvin C Koonce Dds Pc | |
|
603 N Main St Shelbyville TN 37160-3210 | |
| (931) 684-2445 | |
| (931) 684-6201 |
| Full Name | Marvin C Koonce Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 603 N Main St, Shelbyville, Tennessee |
| Authorized Official Name and Position | Marvin C Koonce (PRESIDENT) |
| Authorized Official Contact | 9316842445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin C Koonce Dds Pc Po Box 741 Shelbyville TN 37162-0741 Ph: (931) 684-2445 | Marvin C Koonce Dds Pc 603 N Main St Shelbyville TN 37160-3210 Ph: (931) 684-2445 |
| NPI Number | 1396880480 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396880480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS2322 (Tennessee) | Primary |
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