| Brentwood Pediatric Dentistry Maryland Farms, Pllc | |
|
5109 Peter Taylor Park Dr Ste 100 Brentwood TN 37027-7672 | |
| (615) 373-4047 | |
| Not Available |
| Full Name | Brentwood Pediatric Dentistry Maryland Farms, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5109 Peter Taylor Park Dr Ste 100, Brentwood, Tennessee |
| Authorized Official Name and Position | Ryan Cregger (OWNER) |
| Authorized Official Contact | 6153773080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood Pediatric Dentistry Maryland Farms, Pllc 95 Seaboard Ln Ste 102 Brentwood TN 37027-3037 Ph: (615) 377-3080 | Brentwood Pediatric Dentistry Maryland Farms, Pllc 5109 Peter Taylor Park Dr Ste 100 Brentwood TN 37027-7672 Ph: (615) 373-4047 |
| NPI Number | 1225686157 |
|---|---|
| Provider Enumeration Date | 09/04/2019 |
| Last Update Date | 09/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225686157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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