| Professional Dental Alliance Of Tennessee, Pllc | |
|
125 Cool Springs Blvd Ste 140 Franklin TN 37067-6475 | |
| (615) 771-1111 | |
| (615) 771-5113 |
| Full Name | Professional Dental Alliance Of Tennessee, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 125 Cool Springs Blvd Ste 140, Franklin, Tennessee |
| Authorized Official Name and Position | Sarah Alston (CREDENTIALING) |
| Authorized Official Contact | 2406056412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Tennessee, Pllc 125 Enterprise Dr Ste 200 Pittsburgh PA 15275-1223 Ph: (724) 901-1964 | Professional Dental Alliance Of Tennessee, Pllc 125 Cool Springs Blvd Ste 140 Franklin TN 37067-6475 Ph: (615) 771-1111 |
| NPI Number | 1669530291 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669530291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DS4359 (Tennessee) | Primary |
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