| NPI | 1164989455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP PALMER SHIPP Owner/Dentist 615-292-4100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-04-04 |