Provider Demographics
NPI:1629622774
Name:ROX DENTAL PARTNERS, PLLC
Entity Type:Organization
Organization Name:ROX DENTAL PARTNERS, PLLC
Other - Org Name:TN DENTAL ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN MARIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MAGGIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-849-1292
Mailing Address - Street 1:1754 S RUTHERFORD BLVD
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-5956
Mailing Address - Country:US
Mailing Address - Phone:615-849-1292
Mailing Address - Fax:
Practice Address - Street 1:1754 S RUTHERFORD BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-5956
Practice Address - Country:US
Practice Address - Phone:615-849-1292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-27
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty