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Contact Information

ELITE DENTAL GERMANTOWN PLC
9064 CORPORATE GRADENS DRIVE
GERMANTOWN, TN38138
 Phone: 731-855-1053
 Fax: 731-855-8064
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ELITE DENTAL GERMANTOWN PLC · (Female)

NPI # 1124552401
Status Active
Credentials
Entity Individual
Enumeration date 04/13/2017
Last updated 04/13/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # DS009456
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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