Organization · NPI-2

Berry Farms Dental

Dentist · Franklin, TN

NPI number1902432172
StatusActive
Last updated in NPPESMar 19, 2020

Details

NPI
1902432172
Entity type
Organization (NPI-2)
Legal business name
Berry Farms Dental
Organization subpart
No
Enumeration date
Mar 19, 2020
Certification date
Mar 19, 2020
Last updated
Mar 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Practice location

4020 Hughes Xing Ste 140
Franklin, TN 37064-1468

Phone 615-435-3274

Mailing address

4020 Hughes Xing Ste 140
Franklin, TN 37064-1468

Authorized official

Amber Bigham Johnson
Doctor
6155164068

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