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Contact Information

ACACIA DENTAL GROUP, PLLC
102 WESSINGTON PL
SUITE B
HENDERSONVILLE, TN37075-3085
 Phone: 615-822-2214
 Fax: 615-822-6519
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ACACIA DENTAL GROUP, PLLC

NPI Number 1942745963
LBN Legal business name ACACIA DENTAL GROUP, PLLC
Authorized official ANGELA SOUTHWELL - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/29/2016
Last updated 02/06/2017 - About 9 years ago
Identifiers
TN License # 8834
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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