Organization · Type 2 NPI

Heartland Dental Care of Tennessee, PC

General Practice Dentistry · Antioch, TN

NPI number 1205057403 Active

Practice location

5252 Hickory Hollow Parkway, Suite 1131
Antioch, TN 37013

Fax (615) 717-0515

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other general practice dentistry providers in Antioch

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NPI record

NPI: 1205057403
Entity type: Organization (Type 2)
Issued: May 2, 2007
Last updated: May 21, 2008
Status: Active
Subpart: Yes of Heartland Dental Care of Tennessee, PC

Other names

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Dentistry Plus - Hickory Hollow · doing business as

Authorized official

Amy Kroeger
Ins Cood
(217) 540-5100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205057403

Heartland Dental Care of Tennessee, PC's National Provider Identifier is 1205057403, issued on May 2, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Antioch, TN. The record was last updated on May 21, 2008.