Algood Family Dental Group
Dentist, General Practice in Cookeville, TN. Organization (NPI-2).
NPI number1598066839
StatusActive
Last updated in NPPESNov 3, 2010
Details
- NPI
- 1598066839
- Entity type
- Organization (NPI-2)
- Legal business name
- Algood Family Dental Group
- Organization subpart
- No
- Enumeration date
- Nov 3, 2010
- Last updated
- Nov 3, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 8130 | TN | Yes |
Other names
- Algood Family Dental Group (Doing Business As)
Practice location
172 W Main StCookeville, TN 38506-5337
Phone 931-537-9948 · Fax 931-537-2808
Mailing address
172 W Main StCookeville, TN 38506-5337
Phone 931-537-9948 · Fax 931-537-2808
Authorized official
Richard F Heard
Owner
9315379948
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