State Of Tennessee
Dentist, Dental Public Health in Springfield, TN. Organization (NPI-2).
NPI number1861709024
StatusActive
Last updated in NPPESAug 28, 2012
Details
- NPI
- 1861709024
- Entity type
- Organization (NPI-2)
- Legal business name
- State Of Tennessee
- Organization subpart
- No
- Enumeration date
- Sep 9, 2010
- Last updated
- Aug 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223D0001X | Dentist, Dental Public Health | – | – | Yes |
Other names
- Robertson County Dental Clinic (Doing Business As)
Practice location
806 South Brown StreetSpringfield, TN 37172
Phone 615-384-4504 · Fax 615-384-2067
Mailing address
806 South Brown StreetSpringfield, TN 37172
Phone 615-384-4504 · Fax 615-384-2067
Authorized official
Annette Haley
Regional Director
6156507000
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