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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

NPI # 1124552401
LBN Legal business name ELITE DENTAL GERMANTOWN PLC
Authorized official MICHAEL FARRAR - (OWNER/ DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2017
Last updated 04/13/2017 - About 9 years ago
Identifiers
TN License # DS009456
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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