NPI 1003151390

Legacy Hill Dentistry

Organisation General Practice Dentistry Smyrna, TN

Practice location

Address: 526 Legacy Dr, Smyrna, TN 37167-6750
Phone: (615) 459-8050
Fax: (615) 459-6023

Authorised official

Name: Ricky Dale Russell
Title: Owner
Phone: (615) 459-8050

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1003151390
Entity type: Organization
NPI issued: 28 Nov 2012
Record last updated: 28 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.