Centerville Dental

NPI 1174881965 - Dentist - 1223G0001X

NPI Details
NPI 1174881965
Enumeration Date 04/30/2012
Last Updated 04/30/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JAMIE M JAMIE
Position OWNER
Phone (931) 729-2664
Fax (931) 729-2666
Practice Location
704 HIGHWAY 100
STE 101
CENTERVILLE TN, 37033-1171, US
Phone (931) 729-2664
Fax (931) 729-2666
Business Location
704 HIGHWAY 100
STE 101
CENTERVILLE TN, 37033-1171, US
Phone (931) 729-2664
Fax (931) 729-2666
Toxanomy
Taxonomy Code 1223G0001X
License State Tennessee
License Number 8074
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According to our database, Centerville Dental NPI is 1174881965, taxonomy code is 1223G0001X and license number is 8074, license state is located at Tennessee. Centerville Dental physically located at 704 Highway 100, Centerville TN, 37033-1171. NPI Number 1033115704 has the healthcare provider type.

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1174881965 NPI number is provided on an as is basis without warranty of any kind. 1174881965 is maintained by the National Plan & Provider Enumeration System. The contents of Centerville Dental are for informational purposes only.