Mack, Charles Russell
Mack, Charles Russell is an sole proprietor health care provider with primary practice located at 1113 Lakeview Drive , Franklin TN 37067. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mack, Charles Russell can be contacted via phone (615) 790-6213.Contact Information
Primary practice address
1113 Lakeview Drive
Franklin TN 37067
Phone: (615) 790-6213
Fax: (615) 790-8440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 10536 | Tennessee |
Profile Details
| NPI number | 1962857698 |
|---|---|
| LBN Legal business name | Mack, Charles Russell |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2016 |
| Last updated | Jan 20th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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