| Tennessee Dental Professionals, Pc | |
|
11807 Kingston Pike Farragut TN 37934-3809 | |
| (865) 672-6541 | |
| Not Available |
| Full Name | Tennessee Dental Professionals, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11807 Kingston Pike, Farragut, Tennessee |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Dental Professionals, Pc 11807 Kingston Pike Farragut TN 37934-3809 Ph: (865) 672-6541 | Tennessee Dental Professionals, Pc 11807 Kingston Pike Farragut TN 37934-3809 Ph: (865) 672-6541 |
| NPI Number | 1972196749 |
|---|---|
| Provider Enumeration Date | 02/12/2021 |
| Last Update Date | 02/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972196749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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