| Upper Cumberland Family Dentistry, Pc | |
|
215 Oak St Livingston TN 38570-1726 | |
| (931) 823-5517 | |
| (931) 823-3852 |
| Full Name | Upper Cumberland Family Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 215 Oak St, Livingston, Tennessee |
| Authorized Official Name and Position | Steve Ellis (PRESIDENT) |
| Authorized Official Contact | 9318235517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Cumberland Family Dentistry, Pc 215 Oak St Livingston TN 38570-1726 Ph: (931) 823-5517 | Upper Cumberland Family Dentistry, Pc 215 Oak St Livingston TN 38570-1726 Ph: (931) 823-5517 |
| NPI Number | 1205008398 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 03/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205008398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
L.g. Puckett D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 N Church St, Livingston, TN 38570 Phone: 931-823-3754 Fax: 931-823-3739 |