Ashland City Dental, P.C.
Clinic/Center, Dental in Ashland City, TN. Organization (NPI-2).
NPI number1083174080
StatusActive
Last updated in NPPESFeb 7, 2023
Details
- NPI
- 1083174080
- Entity type
- Organization (NPI-2)
- Legal business name
- Ashland City Dental, P.C.
- Organization subpart
- No
- Enumeration date
- Mar 25, 2019
- Certification date
- Feb 7, 2023
- Last updated
- Feb 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
189 Monroe Pl Ste 104Ashland City, TN 37015-4940
Phone 706-442-1469
Mailing address
189 Monroe Pl Ste 104Ashland City, TN 37015-4940
Authorized official
James Ralph Fleenor
Owner
6152355144
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