| Rivergate Village Dental | |
|
1570 Gallatin Pike N Madison TN 37115-2124 | |
| (615) 865-6000 | |
| (615) 865-6069 |
| Full Name | Rivergate Village Dental |
|---|---|
| Speciality | Dentist |
| Location | 1570 Gallatin Pike N, Madison, Tennessee |
| Authorized Official Name and Position | Shawn Foster (PRACTICE ADMIN/REGIONAL DIRECTOR OP) |
| Authorized Official Contact | 6154984323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivergate Village Dental 1570 Gallatin Pike N Madison TN 37115-2124 Ph: (615) 865-6000 | Rivergate Village Dental 1570 Gallatin Pike N Madison TN 37115-2124 Ph: (615) 865-6000 |
| NPI Number | 1336459791 |
|---|---|
| Provider Enumeration Date | 10/19/2010 |
| Last Update Date | 10/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336459791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8569 (Tennessee) | Primary |
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