| Organization Name: | COMPLETE DENTAL CARE CLINICS |
| NPI Number: | 1295907715 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK EDWARD HOLIFIELD (OWNER) |
| Mailing Address: | 382 Tennessee Ave N Parsons |
| State: | TN US |
| Postal Code: | 383632024 |
| Phone Number: | 7318476625 |
| Fax Number: | 7318474628 |
| NPI Enumeration Date: | 03/25/2008 |
| NPI Last Update Date: | 03/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |