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47 Brookwood Ter Nashville TN 37205-1405 | |
| (615) 353-5678 | |
| (615) 353-2098 |
| Full Name | |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 47 Brookwood Ter, Nashville, Tennessee |
| Authorized Official Name and Position | Thomas John Heeren (OWNER/PRACTITIONER) |
| Authorized Official Contact | 6153535678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
47 Brookwood Ter Nashville TN 37205-1405 Ph: (615) 353-5678 | 47 Brookwood Ter Nashville TN 37205-1405 Ph: (615) 353-5678 |
| NPI Number | 1093242885 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093242885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 9516 (Tennessee) | Primary |
| 1223E0200X | Dentist - Endodontics | 2136 (Tennessee) | Secondary |
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