Dentistry Of Lewisburg
Clinic/Center, Dental in Lewisburg, TN. Organization (NPI-2).
NPI number1396563946
StatusActive
Last updated in NPPESOct 2, 2024
Details
- NPI
- 1396563946
- Entity type
- Organization (NPI-2)
- Legal business name
- Dentistry Of Lewisburg
- Organization subpart
- Yes
- Enumeration date
- Oct 2, 2024
- Certification date
- Oct 2, 2024
- Last updated
- Oct 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Dentistry Of Lewisburg (Doing Business As)
Practice location
1360 S Ellington PkwyLewisburg, TN 37091-4324
Phone 931-308-4292
Mailing address
20 Old Pleasant Grove RdMount Juliet, TN 37122-3879
Phone 615-970-2300
Authorized official
Skylor Morton
Ceo/Doctor
6159702300
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