Healthcare Provider Details

I. General information

NPI: 1750800900
Provider Name (Legal Business Name): DAILY DENTAL SPRING HILL, A SERIES OF DAILY DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2017
Last Update Date: 10/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2090 WALL STREET
SPRING HILL TN
37174
US

IV. Provider business mailing address

1800 S RUTHERFORD BLVD STE 101
MURFREESBORO TN
37130-5996
US

V. Phone/Fax

Practice location:
  • Phone: 931-300-2300
  • Fax: 931-300-2345
Mailing address:
  • Phone: 615-428-3087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number5414
License Number StateTN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. FRANK A. COYLE
Title or Position: PRESIDENT
Credential: ESQ.
Phone: 615-525-5130