Provider Demographics
NPI:1992449292
Name:ATKINS, TERI LYNN (RDH)
Entity type:Individual
Prefix:
First Name:TERI
Middle Name:LYNN
Last Name:ATKINS
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4020 COUNTY HOME RD
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-5955
Mailing Address - Country:US
Mailing Address - Phone:731-707-1049
Mailing Address - Fax:
Practice Address - Street 1:405 TYSON AVE STE A
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-4836
Practice Address - Country:US
Practice Address - Phone:731-642-2244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3057124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist