Organization · Type 2 NPI

Tailwater Practice Partners

Dental Clinic/Center · Rolla, MO

NPI number 1073393336 Active

Practice location

1701 E 10th St
Rolla, MO 65401-4601

Mailing address

10 Burton Hills Blvd Ste 400
Nashville, TN 37215-3004

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1073393336

Tailwater Practice Partners's National Provider Identifier is 1073393336, issued on Oct 4, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Rolla, MO. The record was last updated on Oct 4, 2023.