Provider Demographics
NPI:1558352906
Name:TURNER, KELLI ARNET (DDS)
Entity Type:Individual
Prefix:DR
First Name:KELLI
Middle Name:ARNET
Last Name:TURNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 CHURCH ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-3019
Mailing Address - Country:US
Mailing Address - Phone:615-321-2702
Mailing Address - Fax:615-327-0090
Practice Address - Street 1:1506 CHURCH ST
Practice Address - Street 2:SUITE 110
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-3019
Practice Address - Country:US
Practice Address - Phone:615-321-2702
Practice Address - Fax:615-327-0090
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS53051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3225743Medicaid