Organization · Type 2 NPI
Bivens Dental Group PC
Dental Clinic/Center · Lyles, TN
NPI number
1871747832
Active
Practice location
5103 Highway 100
Lyles, TN 37098-1879
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 6858 (TN) |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1871747832
Bivens Dental Group PC's National Provider Identifier is 1871747832, issued on Nov 4, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lyles, TN. The record was last updated on Nov 5, 2008.