Healthcare Provider Details

I. General information

NPI: 1164335303
Provider Name (Legal Business Name): M&R DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3795 FRANKLIN RD STE J
MURFREESBORO TN
37128-4185
US

IV. Provider business mailing address

3795 FRANKLIN RD STE J
MURFREESBORO TN
37128-4185
US

V. Phone/Fax

Practice location:
  • Phone: 615-785-8691
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: ROSALYN HA
Title or Position: PARTNER
Credential: DDS
Phone: 615-785-8691