| Lebanon Pediatric Dentistry, Llc | |
|
920 S Hartmann Dr Lebanon TN 37090-4018 | |
| (404) 410-1340 | |
| Not Available |
| Full Name | Lebanon Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 920 S Hartmann Dr, Lebanon, Tennessee |
| Authorized Official Name and Position | Christopher Sims (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4705521823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lebanon Pediatric Dentistry, Llc 920 S Hartmann Dr Lebanon TN 37090-4018 Ph: () - | Lebanon Pediatric Dentistry, Llc 920 S Hartmann Dr Lebanon TN 37090-4018 Ph: (404) 410-1340 |
| NPI Number | 1285279836 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 11/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285279836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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