| NPI | 1629233176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY D. ELLIOTT Dentist 615-832-5899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS0000008397) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |