| T Koen Orthodontics Pllc | |
|
131 Indian Lake Blvd Suite 202 Hendersonville TN 37075-6210 | |
| (615) 824-5636 | |
| (615) 824-5707 |
| Full Name | T Koen Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 131 Indian Lake Blvd, Hendersonville, Tennessee |
| Authorized Official Name and Position | Tommy J Koen (OWNER) |
| Authorized Official Contact | 6158245636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T Koen Orthodontics Pllc 131 Indian Lake Blvd Suite 202 Hendersonville TN 37075-6210 Ph: (615) 824-5636 | T Koen Orthodontics Pllc 131 Indian Lake Blvd Suite 202 Hendersonville TN 37075-6210 Ph: (615) 824-5636 |
| NPI Number | 1639386501 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639386501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4113 (Tennessee) | Primary |
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