Back To Basics Dental Center, Llc

NPI 1013288257 - Dentist - 1223G0001X

NPI Details
NPI 1013288257
Enumeration Date 01/19/2012
Last Updated 09/16/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JENNIFER JENNIFER
Position OWNER
Phone (931) 645-8000
Fax
Practice Location
1762 HIGHWAY 48
STE A
CLARKSVILLE TN, 37040-7284, US
Phone (931) 645-8000
Fax
Business Location
1762 HIGHWAY 48
STE A
CLARKSVILLE TN, 37040-7284, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Tennessee
License Number 8416
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According to our database, Back To Basics Dental Center, Llc NPI is 1013288257, taxonomy code is 1223G0001X and license number is 8416, license state is located at Tennessee. Back To Basics Dental Center, Llc physically located at 1762 Highway 48, Clarksville TN, 37040-7284. NPI Number 1033115704 has the healthcare provider type.

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1013288257 NPI number is provided on an as is basis without warranty of any kind. 1013288257 is maintained by the National Plan & Provider Enumeration System. The contents of Back To Basics Dental Center, Llc are for informational purposes only.