| West Tennessee Dental Group | |
|
174 Community Park Rd Dyersburg TN 38024-9243 | |
| (731) 285-8890 | |
| Not Available |
| Full Name | West Tennessee Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 174 Community Park Rd, Dyersburg, Tennessee |
| Authorized Official Name and Position | Brittany Howard (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Tennessee Dental Group 174 Community Park Rd Dyersburg TN 38024-9243 Ph: (731) 285-8890 | West Tennessee Dental Group 174 Community Park Rd Dyersburg TN 38024-9243 Ph: (731) 285-8890 |
| NPI Number | 1275005415 |
|---|---|
| Provider Enumeration Date | 12/28/2018 |
| Last Update Date | 12/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275005415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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