Absolute Pediatric Dentistry

Organization Active NPI Pediatric Dentistry · Tullahoma, TN

NPI 1487082434 · NPPES record last updated Oct 29, 2013

Key facts

NPI
1487082434
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Dentistry 1223P0221X
Legal business name
ABSOLUTE PEDIATRIC DENTISTRY
Practice address
1956 N Jackson St
Tullahoma, TN 37388-2204
Phone
(931) 455-8255
Fax
(931) 563-5566
NPI assigned
Oct 29, 2013
Organization subpart
No

Authorized official

Name
Dr. Joseph S Doctora, DDS
Title
Owner
Phone
(931) 455-8255

National Provider Directory

Locations

1956 N Jackson St
Tullahoma, TN 37388
Phone (931) 455-1923

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223P0221X Yes
Oral and Maxillofacial Surgery (Dentist)
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223S0112X

Addresses

Primary practice location

1956 N Jackson St
Tullahoma, TN 37388-2204

Mailing address

1956 N Jackson St
Tullahoma, TN 37388-2204
Phone (931) 455-8255

Other providers in Tullahoma, TN

All providers in Tullahoma, TN · Pediatric Dentistry in Tennessee

Sources for this page

Verify at the official NPI Registry.