Organization · NPI-2

Middle Tennessee Management, LLC

Dentist · Lewisburg, TN

NPI number1760615850
StatusActive
Last updated in NPPESAug 24, 2009

Details

NPI
1760615850
Entity type
Organization (NPI-2)
Legal business name
Middle Tennessee Management, LLC
Organization subpart
No
Enumeration date
Aug 24, 2009
Last updated
Aug 24, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Other names

  • Lewisburg Family Denistry (Doing Business As)

Practice location

113 The Acres
Lewisburg, TN 37091-2845

Phone 931-359-7004 · Fax 931-359-0951

Mailing address

113 The Acres
Lewisburg, TN 37091-2845

Phone 931-359-7004 · Fax 931-359-0951

Authorized official

Lynn Beech
Credentialing
6153279944

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