Hermitage Dental Clinic

NPI 1497885412 - Clinic/Center - 261QD0000X

NPI Details
NPI 1497885412
Enumeration Date 03/07/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLES A. CHARLES
Position OWNER
Phone (615) 889-1654
Fax (615) 316-9197
Practice Location
107 BONNABROOK DR STE 1
HERMITAGE TN, 37076-1910, US
Phone (615) 889-1654
Fax (615) 316-9197
Business Location
107 BONNABROOK DR STE 1
HERMITAGE TN, 37076-1910, US
Phone (615) 889-1654
Fax (615) 316-9197
Toxanomy
Taxonomy Code 261QD0000X
License State Tennessee
License Number 1764
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According to our database, Hermitage Dental Clinic NPI is 1497885412, taxonomy code is 261QD0000X and license number is 1764, license state is located at Tennessee. Hermitage Dental Clinic physically located at 107 Bonnabrook Dr Ste 1, Hermitage TN, 37076-1910. NPI Number 1033115704 has the healthcare provider type.

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1497885412 NPI number is provided on an as is basis without warranty of any kind. 1497885412 is maintained by the National Plan & Provider Enumeration System. The contents of Hermitage Dental Clinic are for informational purposes only.