| Brentwood Family Dentists | |
|
5123 Virginia Way Ste B12 Brentwood TN 37027-7519 | |
| (615) 221-8837 | |
| Not Available |
| Full Name | Brentwood Family Dentists |
|---|---|
| Speciality | Dentist |
| Location | 5123 Virginia Way Ste B12, Brentwood, Tennessee |
| Authorized Official Name and Position | Thomas Homonnay (DENTIST) |
| Authorized Official Contact | 6152218837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood Family Dentists 5123 Virginia Way Ste B12 Brentwood TN 37027-7519 Ph: () - | Brentwood Family Dentists 5123 Virginia Way Ste B12 Brentwood TN 37027-7519 Ph: (615) 221-8837 |
| NPI Number | 1699288175 |
|---|---|
| Provider Enumeration Date | 11/07/2017 |
| Last Update Date | 04/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699288175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10475 (Tennessee) | Secondary |
| 122300000X | Dentist | DS3961 (Tennessee) | Primary |
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