| Brentwood Dentall Pediatrics Inc | |
|
105 Powell Court Ste 100 Brentwood TN 37027 | |
| (615) 373-4047 | |
| (615) 373-4076 |
| Full Name | Brentwood Dentall Pediatrics Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 105 Powell Court, Brentwood, Tennessee |
| Authorized Official Name and Position | Jeanne M Taylor (DENTIST) |
| Authorized Official Contact | 6153734047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood Dentall Pediatrics Inc 105 Powell Court Ste 100 Brentwood TN 37027 Ph: (615) 373-4047 | Brentwood Dentall Pediatrics Inc 105 Powell Court Ste 100 Brentwood TN 37027 Ph: (615) 373-4047 |
| NPI Number | 1730468729 |
|---|---|
| Provider Enumeration Date | 08/09/2011 |
| Last Update Date | 08/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730468729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DS0000007470 (Tennessee) | Primary |
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