| NPI | 1679860969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THURMAN SHIPLEY Orthodontist 931-626-7846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: TN DS 1549) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |