| Brentwood Dental Group | |
|
8112 Isabella Ln Ste 101 Brentwood TN 37027-9102 | |
| (615) 778-0810 | |
| (615) 277-0808 |
| Full Name | Brentwood Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 8112 Isabella Ln Ste 101, Brentwood, Tennessee |
| Authorized Official Name and Position | Ty Justice (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Contact | 5136094076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood Dental Group 9825 Kenwood Rd Ste 200 Blue Ash OH 45242-6252 Ph: (513) 609-4115 | Brentwood Dental Group 8112 Isabella Ln Ste 101 Brentwood TN 37027-9102 Ph: (615) 778-0810 |
| NPI Number | 1962978742 |
|---|---|
| Provider Enumeration Date | 10/18/2018 |
| Last Update Date | 05/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962978742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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