| Tennessee Dental Professionals, Pc | |
|
1055 W Poplar Ave Collierville TN 38017-3180 | |
| (217) 540-5100 | |
| Not Available |
| Full Name | Tennessee Dental Professionals, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1055 W Poplar Ave, Collierville, Tennessee |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Dental Professionals, Pc 1055 W Poplar Ave Collierville TN 38017-3180 Ph: (217) 540-5100 | Tennessee Dental Professionals, Pc 1055 W Poplar Ave Collierville TN 38017-3180 Ph: (217) 540-5100 |
| NPI Number | 1003329285 |
|---|---|
| Provider Enumeration Date | 11/10/2017 |
| Last Update Date | 11/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003329285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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