Provider Demographics
NPI:1750800900
Name:DAILY DENTAL SPRING HILL, A SERIES OF DAILY DENTAL LLC
Entity type:Organization
Organization Name:DAILY DENTAL SPRING HILL, A SERIES OF DAILY DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:A
Authorized Official - Last Name:COYLE
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:615-525-5130
Mailing Address - Street 1:1800 S RUTHERFORD BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-5996
Mailing Address - Country:US
Mailing Address - Phone:615-428-3087
Mailing Address - Fax:
Practice Address - Street 1:2090 WALL STREET
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174
Practice Address - Country:US
Practice Address - Phone:931-300-2300
Practice Address - Fax:931-300-2345
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAILY DENTAL LLC, A DELAWARE SERIES LIMITED LIABILITY COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-19
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5414122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty