| NPI | 1659735801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DARNELL BAGGETT Sole Member 615-446-4967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS4678) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |