NPI 1023498250

Antioch Dental

Organisation Dental Clinic/Center Antioch, TN

Practice location

Address: 616 Bell Rd, Antioch, TN 37013-2141
Phone: (615) 310-0022
Mailing address: 405 Wild Elm St, Franklin, TN 37064-8650

Authorised official

Name: Danny Northcutt
Title: Manager
Phone: (615) 310-0022

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence TN7885 (TN)

Other Clinic/Center providers in Tennessee →

Registry record

NPI: 1023498250
Entity type: Organization
NPI issued: 3 Jun 2015
Record last updated: 3 Jun 2015

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.