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Tun Tavern, Llc
Dental Clinic/Center in Monteagle, Tennessee
NPI 1386380111

Tun Tavern, Llc is a Dental Clinic/Center based in Tullahoma, TN and is specialized in Dental. Tun Tavern, Llc practices in Monteagle, TN. The NPI Number for Tun Tavern, Llc is 1386380111 and holds a License No. (Tennessee).

The current practice location address for Tun Tavern, Llc is 16 S Central Ave, Monteagle, TN and can be reached out via phone at 931-220-9469.

Location: 16 S Central Ave, Monteagle, TN, 37388-8008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386380111
Provider Name
Tun Tavern, Llc
Credential
Provider Entity Type
Organization
Address
16 S Central Ave, Monteagle, TN, 37388-8008
Phone Number
931-220-9469
Fax Number
Provider Enumeration Date
05/05/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1760436729 01 FEDERAL NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
16 S Central Ave
City
Monteagle
State
Tennessee
Zip
37356-3075
Phone Number
931-220-9469
Fax Number
person
Provider Business Mailing Address Details
Address
16 S Central Ave
City
Monteagle
State
Tennessee
Zip
37356-3075
Phone Number
931-220-9469
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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