Medical school: NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated: 2005
NPI: 1063430205
Practice Locations (2)
2000 OLD FORT PKWY
Murfreesboro, TN 371296907
2000 OLD FORT PKWY
MURFREESBORO, TN 371296907
6158483008
Source: CMS National Downloadable File, September 2026.