| NPI | 1376695304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D KEVIN HAYES President 931-526-1614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN TN4687) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN TN4669) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |