| Grace Dental Care Pc | |
|
500 Lentz Dr Ste 60 Madison TN 37115-5135 | |
| (615) 612-1740 | |
| (615) 612-1751 |
| Full Name | Grace Dental Care Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 500 Lentz Dr Ste 60, Madison, Tennessee |
| Authorized Official Name and Position | Young Jin Moon (OWNER) |
| Authorized Official Contact | 6156121740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Dental Care Pc 500 Lentz Dr Suite 60 Madison TN 37115-5135 Ph: (615) 612-1740 | Grace Dental Care Pc 500 Lentz Dr Ste 60 Madison TN 37115-5135 Ph: (615) 612-1740 |
| NPI Number | 1013182849 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 09/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013182849 | NPI | - | NPPES |
| Q017107 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Tennessee) | Primary |
Aspen Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2153 Gallatin Pike N, Madison, TN 37115 Phone: 315-454-6000 | |
Smiley Tooth Spa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Lentz Dr, Suite 70, Madison, TN 37115 Phone: 615-678-1051 Fax: 615-678-1081 | |
W. Clark Higgs, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Cude Ln, Madison, TN 37115 Phone: 615-859-2000 Fax: 615-859-8902 | |
Radiant Smiles Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Cude Ln, Madison, TN 37115 Phone: 615-851-7999 Fax: 615-851-8491 | |
Fesmire Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Cude Ln, Madison, TN 37115 Phone: 615-598-8660 Fax: 615-860-7585 | |
Smiley Tooth Spa, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Lentz Dr Ste 70, Madison, TN 37115 Phone: 615-969-2774 Fax: 615-327-4433 |