Provider Demographics
NPI:1770328049
Name:AMERRITRIN COMPANY PLLC
Entity type:Organization
Organization Name:AMERRITRIN COMPANY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GARNET
Authorized Official - Middle Name:GARY
Authorized Official - Last Name:JACK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:615-295-8564
Mailing Address - Street 1:1217 HIGHLAND HILLS DR
Mailing Address - Street 2:
Mailing Address - City:LA VERGNE
Mailing Address - State:TN
Mailing Address - Zip Code:37086-4112
Mailing Address - Country:US
Mailing Address - Phone:615-995-5733
Mailing Address - Fax:
Practice Address - Street 1:2076 LASCASSAS PIKE STE A
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-2085
Practice Address - Country:US
Practice Address - Phone:615-295-8564
Practice Address - Fax:615-962-9761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty