| Tennessee Dental Professionals, Pc | |
|
121 S Washington Ave Cookeville TN 38501-3547 | |
| (931) 400-5360 | |
| Not Available |
| Full Name | Tennessee Dental Professionals, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 121 S Washington Ave, Cookeville, Tennessee |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Dental Professionals, Pc 121 S Washington Ave Cookeville TN 38501-3547 Ph: () - | Tennessee Dental Professionals, Pc 121 S Washington Ave Cookeville TN 38501-3547 Ph: (931) 400-5360 |
| NPI Number | 1376009977 |
|---|---|
| Provider Enumeration Date | 02/19/2019 |
| Last Update Date | 02/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376009977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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