| East Nashville Pediatric Dentistry, Pllc | |
|
1077 E Trinity Ln Ste 104 Nashville TN 37216-3067 | |
| (615) 669-4858 | |
| (615) 669-4859 |
| Full Name | East Nashville Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1077 E Trinity Ln Ste 104, Nashville, Tennessee |
| Authorized Official Name and Position | Marissa Sandidge (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7706336566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Nashville Pediatric Dentistry, Pllc 1809 Mcewen Ave Nashville TN 37206-1856 Ph: (615) 669-4858 | East Nashville Pediatric Dentistry, Pllc 1077 E Trinity Ln Ste 104 Nashville TN 37216-3067 Ph: (615) 669-4858 |
| NPI Number | 1326685132 |
|---|---|
| Provider Enumeration Date | 11/30/2019 |
| Last Update Date | 11/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326685132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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