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6980 Moores Ln Brentwood TN 37027-2908 | |
| (615) 310-0022 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6980 Moores Ln, Brentwood, Tennessee |
| Authorized Official Name and Position | Danny Northcutt (MANAGER) |
| Authorized Official Contact | 6153100022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
405 Wild Elm St Franklin TN 37064-8650 Ph: (615) 310-0022 | 6980 Moores Ln Brentwood TN 37027-2908 Ph: (615) 310-0022 |
| NPI Number | 1790165140 |
|---|---|
| Provider Enumeration Date | 06/01/2015 |
| Last Update Date | 06/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790165140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | TN7885 (Tennessee) | Primary |
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