PROVIDENCE DENTAL CARE, INC.

MOUNT JULIET, TN
NPI1447352372
Former Legal Business NameLAFEVER ENTERPRISES, INC.
Entity TypeOrganization
Authorized ContactLARRY WAYNE LAFEVER
President
615-758-6800
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: TN  DS0000004058)
Enumeration Date2006-09-01
Last Update Date2017-01-05
Business Address
PROVIDENCE DENTAL CARE, INC.
684 N MOUNT JULIET RD
MOUNT JULIET, TN 37122-3323
Phone number: 615-758-6800
Mailing Address
PROVIDENCE DENTAL CARE, INC.
684 N MOUNT JULIET RD
MOUNT JULIET, TN 37122-3323
Phone number: 615-758-6800