Heritage Endodontics

NPI 1043699796 - Dentist - 1223E0200X

NPI Details
NPI 1043699796
Enumeration Date 05/28/2015
Last Updated 05/28/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name BURTON A BURTON
Position OWNER/ENDODONTIST
Phone (931) 259-4400
Fax (931) 259-4401
Practice Location
2309 RUDOLPHTOWN RD
STE B
CLARKSVILLE TN, 37043-2228, US
Phone (931) 259-4400
Fax (931) 259-4401
Business Location
2309 RUDOLPHTOWN RD
STE B
CLARKSVILLE TN, 37043-2228, US
Phone (931) 259-4400
Fax (931) 259-4401
Toxanomy
Taxonomy Code 1223E0200X
License State Tennessee
License Number 9567
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According to our database, Heritage Endodontics NPI is 1043699796, taxonomy code is 1223E0200X and license number is 9567, license state is located at Tennessee. Heritage Endodontics physically located at 2309 Rudolphtown Rd, Clarksville TN, 37043-2228. NPI Number 1033115704 has the healthcare provider type.

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1043699796 NPI number is provided on an as is basis without warranty of any kind. 1043699796 is maintained by the National Plan & Provider Enumeration System. The contents of Heritage Endodontics are for informational purposes only.