| NPI | 1245217918 |
|---|---|
| Other Name | STATE OF TENNESSEE HEALTH DEPT |
| Entity Type | Organization |
| Authorized Contact | JOSEPH LEE HADDEN Dentist 423-581-9359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2020-08-22 |