| Brite Smilez Cosmetic & Family Dentistry | |
|
5245 Hickory Hollow Pkwy Antioch TN 37013-3003 | |
| (615) 866-9109 | |
| (615) 866-9147 |
| Full Name | Brite Smilez Cosmetic & Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 5245 Hickory Hollow Pkwy, Antioch, Tennessee |
| Authorized Official Name and Position | Dionne Mcclain (DENTAL HYGIENIST/ OFFICE MANAGER) |
| Authorized Official Contact | 6158669109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brite Smilez Cosmetic & Family Dentistry 5245 Hickory Hollow Pkwy Antioch TN 37013-3003 Ph: (615) 866-9109 | Brite Smilez Cosmetic & Family Dentistry 5245 Hickory Hollow Pkwy Antioch TN 37013-3003 Ph: (615) 866-9109 |
| NPI Number | 1083864102 |
|---|---|
| Provider Enumeration Date | 09/25/2008 |
| Last Update Date | 08/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083864102 | NPI | - | NPPES |
| 5440696 | Medicaid | TN | |
| Q014905 | Medicaid | TN | |
| 1517984 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS2859 (Tennessee) | Primary |
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