| NPI | 1730288499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI FIELDS FISCHER President 615-824-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN TN 5234) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: TN TN5207) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |