| Secd Hermitage Llc | |
|
260 Jackson Meadows Dr Hermitage TN 37076-1425 | |
| (205) 915-1865 | |
| Not Available |
| Full Name | Secd Hermitage Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 260 Jackson Meadows Dr, Hermitage, Tennessee |
| Authorized Official Name and Position | Sara Northcutt (OWNER, DENTIST) |
| Authorized Official Contact | 2059151865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Secd Hermitage Llc 1040 Natchez Valley Ln Franklin TN 37064-4704 Ph: (205) 915-1865 | Secd Hermitage Llc 260 Jackson Meadows Dr Hermitage TN 37076-1425 Ph: (205) 915-1865 |
| NPI Number | 1407335961 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 08/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407335961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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