MEDICARE: WESTMORELAND DENTAL CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	7791	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346672862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTMORELAND DENTAL CARE

Provider Business Mailing Address
First Line	:	1012 PLEASANT GROVE RD
Second Line	:
City	:	WESTMORELAND
State	:	TN
Zip	:	37186-2139
Country	:	US
Telephone Number	:	615-644-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1012 PLEASANT GROVE RD
Second Line	:
City	:	WESTMORELAND
State	:	TN
Zip	:	37186-2139
Country	:	US
Telephone Number	:	615-644-7000
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANDREW MARSHALL
Credential	:	DDS
Telephone Number	:	615-374-9181

Provider Enumeration Date	:	08/07/2013
Last Update Date	:	08/07/2013

Similar Medicare Providers

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Practice Location Address:

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1992700538 — JILL WOICIK LPC-MHSP, NCC
Practice Location Address:

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1215926886 — MR. RAMEGOWDA SUDHEENDRA MD
Practice Location Address:

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1437130721 — DANA HENDERSON A.R.N.P.
Practice Location Address:

1124 NEW HIGHWAY 52 E
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1760462469 — HQM OF WESTMORELAND, LLC
Practice Location Address:

1559 NEW HIGHWAY 52
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1205937588 — BYRON L REID D.PH.
Practice Location Address:

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Directions to “WESTMORELAND DENTAL CARE ” Practice Location

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