Provider Demographics
NPI:1346416005
Name:TURNER FAMILY DENTISTRY PLLC
Entity Type:Organization
Organization Name:TURNER FAMILY DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WOOTEN
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:901-837-6300
Mailing Address - Street 1:PO BOX 1023
Mailing Address - Street 2:
Mailing Address - City:MUNFORD
Mailing Address - State:TN
Mailing Address - Zip Code:38058-1023
Mailing Address - Country:US
Mailing Address - Phone:901-837-6300
Mailing Address - Fax:
Practice Address - Street 1:843 SOUTH TIPTON ROAD
Practice Address - Street 2:SUITE E
Practice Address - City:MUNFORD
Practice Address - State:TN
Practice Address - Zip Code:38058-6303
Practice Address - Country:US
Practice Address - Phone:901-837-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN71071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty