Whalio Doctors

NPI 1013312941

Tennessee Dental Professionals PC

Organisation Dentist Lebanon, TN

Practice location

Address
1715 W Main St, Lebanon, TN 37087-3153
Phone
(615) 547-3597

Authorised official

Name
Allison Varner
Title
Credentialing Coordinator
Phone
(217) 540-6077

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 9923 (TN)

Registry record

NPI
1013312941
Entity type
Organization
NPI issued
4 Nov 2014
Record last updated
4 Nov 2014

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.