Periodontal & Implant Associates Of Middle Tennessee, PLLC
Dentist, Periodontics in Hendersonville, TN. Organization (NPI-2).
NPI number1689213902
StatusActive
Last updated in NPPESJan 3, 2020
Details
- NPI
- 1689213902
- Entity type
- Organization (NPI-2)
- Legal business name
- Periodontal & Implant Associates Of Middle Tennessee, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 3, 2020
- Certification date
- Jan 3, 2020
- Last updated
- Jan 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | – | – | Yes |
Practice location
100 Springhouse CourtSte. 220
Hendersonville, TN 37075-1610
Phone 615-264-6404 · Fax 615-264-0689
Mailing address
100 Springhouse CourtSte. 220
Hendersonville, TN 37075-1610
Phone 615-264-6404 · Fax 615-264-0689
Authorized official
Robert P Pulliam
Periodontist/Owner
6152646404
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