| Life Bridge Dental Tn Pllc | |
|
970 Woodland St Nashville TN 37206-3722 | |
| (615) 601-5250 | |
| (615) 468-0325 |
| Full Name | Life Bridge Dental Tn Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 970 Woodland St, Nashville, Tennessee |
| Authorized Official Name and Position | Kenneth N Sullivan (DIRECTOR RCM) |
| Authorized Official Contact | 6156015250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Bridge Dental Tn Pllc 970 Woodland St Nashville TN 37206-3722 Ph: (615) 601-5250 | Life Bridge Dental Tn Pllc 970 Woodland St Nashville TN 37206-3722 Ph: (615) 601-5250 |
| NPI Number | 1356080352 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356080352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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