| NPI | 1467909929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP PALMER SHIPP Owner/Manager 615-292-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS0000007126) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |