| Lebanon Dental, Llc | |
|
102 Hartman Dr Ste H Lebanon TN 37087-1502 | |
| (615) 449-8800 | |
| (615) 453-6100 |
| Full Name | Lebanon Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 102 Hartman Dr Ste H, Lebanon, Tennessee |
| Authorized Official Name and Position | Starlena Gannon (MANAGER) |
| Authorized Official Contact | 6154408800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lebanon Dental, Llc 102 Hartman Dr Ste H Lebanon TN 37087-1502 Ph: (615) 449-8800 | Lebanon Dental, Llc 102 Hartman Dr Ste H Lebanon TN 37087-1502 Ph: (615) 449-8800 |
| NPI Number | 1891261020 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 10/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891261020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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