| Brentwood Dental Specialists | |
|
1642 Westgate Cir Suite 100 Brentwood TN 37027-8194 | |
| (615) 373-9889 | |
| (615) 425-0320 |
| Full Name | Brentwood Dental Specialists |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1642 Westgate Cir, Brentwood, Tennessee |
| Authorized Official Name and Position | Kathy Jo Ogles (OFFICE MANAGER) |
| Authorized Official Contact | 6153739889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood Dental Specialists 1642 Westgate Cir Suite 100 Brentwood TN 37027-8194 Ph: (615) 373-9889 | Brentwood Dental Specialists 1642 Westgate Cir Suite 100 Brentwood TN 37027-8194 Ph: (615) 373-9889 |
| NPI Number | 1235427691 |
|---|---|
| Provider Enumeration Date | 07/19/2011 |
| Last Update Date | 07/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235427691 | NPI | - | NPPES |
| 3206481 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8056 (Tennessee) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8055 (Tennessee) | Secondary |
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