Provider Demographics
NPI:1720332539
Name:DENTAL SOLUTIONS OF MURFREESBORO,PLLC
Entity Type:Organization
Organization Name:DENTAL SOLUTIONS OF MURFREESBORO,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:T
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:615-956-7120
Mailing Address - Street 1:745 S CHURCH ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-4984
Mailing Address - Country:US
Mailing Address - Phone:615-956-7120
Mailing Address - Fax:615-895-7536
Practice Address - Street 1:745 S CHURCH ST
Practice Address - Street 2:SUITE 209
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-4984
Practice Address - Country:US
Practice Address - Phone:615-956-7120
Practice Address - Fax:615-895-7536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-31
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7261261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7261OtherCOMMERCIAL INSURANCE