| Tooth Extraction Clinic | |
|
264 New Shackle Island Rd Ste 105a Hendersonville TN 37075-2482 | |
| (615) 447-5011 | |
| Not Available |
| Full Name | Tooth Extraction Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 264 New Shackle Island Rd Ste 105a, Hendersonville, Tennessee |
| Authorized Official Name and Position | Johnny Williams (COO) |
| Authorized Official Contact | 6154475011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Extraction Clinic 264 New Shackle Island Rd Ste 105a Hendersonville TN 37075-2482 Ph: (615) 447-5011 | Tooth Extraction Clinic 264 New Shackle Island Rd Ste 105a Hendersonville TN 37075-2482 Ph: (615) 447-5011 |
| NPI Number | 1568120160 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 12/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568120160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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