NPI 1366614588

Blue Ribbon Dental Center LLC

Organisation Health Maintenance Organization Tiptonville, TN

Practice location

Address: 211 Church St, Tiptonville, TN 38079-1109
Phone: (731) 253-9091
Mailing address: PO Box 375, Tiptonville, TN 38079-0375

Authorised official

Name: Denean Reshay Carr
Title: Dentist
Phone: (731) 253-9091

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 8178 (TN)

Other Health Maintenance Organization providers in Tennessee →

Registry record

NPI: 1366614588
Entity type: Organization
NPI issued: 27 Mar 2008
Record last updated: 27 Mar 2008

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.