MEDICARE: MCKEE, CURRY, STANLEY, PEDIATRIC DENTISTRY PARTNERSHIP

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	1223P0221X	Pediatric Dentistry		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	:	1942281571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCKEE, CURRY, STANLEY, PEDIATRIC DENTISTRY PARTNERSHIP

Provider Business Mailing Address
First Line	:	614 E CLARK BLVD
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37130-2121
Country	:	US
Telephone Number	:	615-890-0885
Fax Number	:	615-890-8818

Provider Business Practice Location Address
First Line	:	614 E CLARK BLVD
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37130-2121
Country	:	US
Telephone Number	:	615-890-0885
Fax Number	:	615-890-8818

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	DEBBIE THORPE
Credential	:
Telephone Number	:	615-890-0885

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	04/19/2012

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