| Nolensville Pediatric Dentistry | |
|
7146 Nolensville Rd Suite 101 Nolensville TN 37135-9585 | |
| (615) 283-7397 | |
| (615) 283-3898 |
| Full Name | Nolensville Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7146 Nolensville Rd, Nolensville, Tennessee |
| Authorized Official Name and Position | Ryan Allen Cregger (OWNER/DENTIST) |
| Authorized Official Contact | 6153773080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nolensville Pediatric Dentistry 7146 Nolensville Rd Suite 101 Nolensville TN 37135-9585 Ph: (615) 377-3080 | Nolensville Pediatric Dentistry 7146 Nolensville Rd Suite 101 Nolensville TN 37135-9585 Ph: (615) 283-7397 |
| NPI Number | 1376999003 |
|---|---|
| Provider Enumeration Date | 05/12/2016 |
| Last Update Date | 05/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376999003 | NPI | - | NPPES |
| Q014908 | Medicaid | TN | |
| 1509457 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8825 (Tennessee) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 9278 (Tennessee) | Secondary |
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