Provider Demographics
NPI:1669148318
Name:DENTON, MOLLY
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:DENTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12369
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0048
Mailing Address - Country:US
Mailing Address - Phone:844-893-0012
Mailing Address - Fax:615-278-3355
Practice Address - Street 1:7205 WOLF RIVER BLVD STE 205
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-1777
Practice Address - Country:US
Practice Address - Phone:844-893-0012
Practice Address - Fax:615-278-3355
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNF07210742207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine