RIVERGATE DENTAL GROUP

GOODLETTSVILLE, TN
NPI1861664898
Entity TypeOrganization
Authorized ContactRODERICK VINCENT FRAZIER
Owner
615-851-1777
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
(Licence: TN  DS005013)
Enumeration Date2008-03-31
Last Update Date2008-03-31
Business Address
RIVERGATE DENTAL GROUP
919 CONFERENCE DR SUITE 5
GOODLETTSVILLE, TN 37072-1933
Phone number: 615-851-1777
Mailing Address
RIVERGATE DENTAL GROUP
PO BOX 589
GOODLETTSVILLE, TN 37070-0589
Phone number: 615-851-1777