Provider Demographics
NPI:1346496593
Name:COMFORT ZONE DENTAL CENTER, LLC
Entity Type:Organization
Organization Name:COMFORT ZONE DENTAL CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-309-6801
Mailing Address - Street 1:9200 CHIMNEYROCK BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-2323
Mailing Address - Country:US
Mailing Address - Phone:901-309-6801
Mailing Address - Fax:
Practice Address - Street 1:9200 CHIMNEYROCK BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-2323
Practice Address - Country:US
Practice Address - Phone:901-309-6801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN83261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty