| Mid Tn Dentistry Antioch | |
|
616 Bell Rd Antioch TN 37013-2141 | |
| (615) 310-0022 | |
| Not Available |
| Full Name | Mid Tn Dentistry Antioch |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 616 Bell Rd, Antioch, Tennessee |
| Authorized Official Name and Position | Danny Northcutt (MANAGER) |
| Authorized Official Contact | 6153100022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Tn Dentistry Antioch 405 Wild Elm St Franklin TN 37064-8650 Ph: (615) 310-0022 | Mid Tn Dentistry Antioch 616 Bell Rd Antioch TN 37013-2141 Ph: (615) 310-0022 |
| NPI Number | 1023498250 |
|---|---|
| Provider Enumeration Date | 06/03/2015 |
| Last Update Date | 06/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023498250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | TN7885 (Tennessee) | Primary |
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